DR. RIDDHI BIPIN KOTHARI (NPI# 1629310701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629310701 |
| Entity Type | Individual |
| Full Name | DR. RIDDHI BIPIN KOTHARI |
| Credential | D.O. |
| Practice Address |
8221 Willow Oaks Corporate Dr Ste 4-420 Fairfax VA 22031-4512 |
| Practice Telephone | 7032897560 |
| Practice Fax Number | 7032049001 |
| Mailing Telephone | 7032897560 |
| Mailing Fax Number | 7032049001 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0102206194 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OP60756882 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1629310701 | 05 | |
| WA | MEDICARE PIN | 8967547 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 W Pratt St, Rm. 474, Baltimore, MD 212011023 | 4103286325 | |
| 325 9th Ave, Seattle, WA 981042420 | 2065436420 | |
| 3600 Joseph Siewick Dr, Fairfax, VA 220331709 | 7033913600 | 7033913414 |
| 3300 Gallows Rd, Falls Church, VA 220423300 | 7037764001 | 7037767113 |
| 44045 Riverside Pkwy, Leesburg, VA 201765101 | 7038586000 | 7038586900 |
| 2501 Parkers Ln, Alexandria, VA 223063209 | 7036647000 | 7036647666 |
| Street Address |
8221 WILLOW OAKS CORPORATE DR STE 4-420 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376671032 | Shawan Helena Carr | Nurse Practitioner | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2007-03-02 |
| 1154799054 | Michelle Puchon | Social Worker | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2015-09-09 |
| 1649542200 | Khin Win Myint | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2012-01-29 |
| 1518243682 | Kory Bradley | Social Worker | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2011-11-02 |
| 1285948042 | Mary Kathleen Hill | Psychologist | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659766624 | Caroline Roberts | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr Ste 4-430, Fairfax, VA 22031-4512 | 2015-04-06 |
| 1164764593 | Michael Moore | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr Ste 4-425, Fairfax, VA 22031-4512 | 2013-03-24 |
| 1194067868 | Andrew Arthur Matz | Psychiatry & Neurology | 8550 Arlington Blvd Ste 300, Fairfax, VA 22031-4620 | 2013-03-20 |
| 1023336575 | Samina S. Raja | Psychiatry & Neurology | 3993 Alcoa Dr, Fairfax, VA 22033-1402 | 2010-05-07 |
| 1629395066 | Rachel B Goldberg | Psychiatry & Neurology | 3025 Hamaker Ct Ste 290, Fairfax, VA 22031-2237 | 2010-04-26 |
| 1285823898 | Sermsak Lolak | Psychiatry & Neurology | 8411 Pennell St, Fairfax, VA 22031 | 2007-10-19 |
| 1639373202 | Alok Kumar | Psychiatry & Neurology | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0986 | 2007-06-14 |
| 1942339593 | Sonia C Thomas | Psychiatry & Neurology | 11204 Waples Mill Road, Fairfax, VA 22030-6036 | 2007-03-02 |
| 1477698777 | Jose Antonio Apud | Psychiatry & Neurology | 8303 Arlington Blvd Ste 205, Fairfax, VA 22031-2903 | 2007-02-21 |
| 1780608984 | Philip Smith | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2006-07-27 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.