DR. VIKAS MANGEWALA


Address: 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989
Phone: 7038658686

DR. VIKAS MANGEWALA (NPI# 1750641668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750641668
Entity Type Individual
Full Name DR. VIKAS MANGEWALA
Credential M.D.
Practice Address 3930 Pender Dr Ste 350
Fairfax
VA 22030-0989
Mailing Address 3000 Arlington Ave
Graduate Medical Education Ms 1193
Toledo
OH 43614-2595
Practice Telephone 7038658686
Practice Fax Number 7038656506
Mailing Telephone 4193835695
Mailing Fax Number 4193833031
Enumeration Date 2012-05-24
Last Update Date 2019-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
0101262439 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 3930 PENDER DR STE 350
City FAIRFAX
State VA
Zip Code 22030-0989

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639373202 Alok Kumar Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0986 2007-06-14
1306309679 Abebayhu Tekalign Counselor 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2019-04-12
1376918318 Wellness Program, LLC Clinic/Center 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2015-12-02
1407236482 Neuropsych Wellness Center Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2015-06-04
1558764134 Neuropsych Wellness Center Clinic/Center 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2014-09-26
1902206550 Christina Webster Counselor 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2014-09-02
1710272083 Suzanne Cox Nurse Practitioner 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2011-06-15
1588977748 Neuropsych Wellness Center, PC Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2010-07-16

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NPI Name Taxonomy Address Enumeration
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1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114007077 Elizabeth Maier Reynolds Psychiatry & Neurology 12801 Hamlet Hill Way, Fairfax, VA 22030-7250 2006-10-16
1083959373 Ravinderpal Singh Psychiatry & Neurology 11204 Waples Mill Rd, Fairfax, VA 22030-6036 2012-11-28
1740332519 Lorency Fernando Psychiatry & Neurology 11204 Waples Mill Rd, Fairfax, VA 22030-6048 2007-01-18
1740343672 Peter Howard Robbins Psychiatry & Neurology 3959 Pender Dr, #320, Fairfax, VA 22030-6041 2006-12-19
1780773754 Elizabeth Lathrop Finch Psychiatry & Neurology 10470 Armstrong St, Fairfax, VA 22030-3648 2006-10-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902248073 Tanvir Iqbal Psychiatry & Neurology 201 S Main St Ste 3400, Danville, VA 24541-2932 2013-07-18
1821364043 Michael Kubelik Heck Psychiatry & Neurology 691 Berkmar Cir, Charlottesville, VA 22901-1464 2012-04-02
1831403864 Neel Nene Psychiatry & Neurology 801 N Quincy St Ste 601, Arlington, VA 22203-1729 2010-08-02
1295048684 My Psychiatrist, Plc Psychiatry & Neurology 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 2010-07-14
1023257979 Kevin Michael Williams Psychiatry & Neurology 3737 Seminary Rd, Alexandria, VA 22304-5202 2009-02-17
1881854982 John Paul Steg Psychiatry & Neurology 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 2008-06-11
1336343516 Nelson Lugo Psychiatry & Neurology 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 2007-06-12
1598973471 Charles E Hall Iv Psychiatry & Neurology 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 2007-05-21
1699983692 Heather Kilbride Henig Psychiatry & Neurology 11490 Commerce Park Dr Ste 420, Reston, VA 20191 2007-05-21
1104942754 William Louis Licamele Psychiatry & Neurology 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 2007-03-22
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Competitor

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City FAIRFAX
Zip Code 22030

Improve Information

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Dataset Information

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.

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