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BESPOKE PSYCHIATRY OF NORTHERN VIRGINIA
NPI 1104768878
Nurse Practitioner - Psychiatric/Mental Health in Alexandria, VA

Active since April 09, 2026
1737 KING ST STE 330, ALEXANDRIA, VA 22314(301) 642-5404 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2026, Apr 9, 2026 (2 updates tracked since 2026).

About Bespoke Psychiatry Of Northern Virginia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BESPOKE PSYCHIATRY OF NORTHERN VIRGINIA (NPI 1104768878) is a healthcare organization registered as a psychiatric/mental health in Alexandria, Virginia and active in the NPI registry since April 2026. The organization lists Jennifer Linda Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104768878
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBESPOKE PSYCHIATRY OF NORTHERN VIRGINIA
Location Address1737 KING ST STE 330Alexandria, VA 22314-2760
Mailing Address1737 King St Ste 330Alexandria, VA 22314-2760 · (301) 642-5404
Phone(301) 642-5404
Organization SubpartNo
Authorized OfficialJennifer Linda JordanOwner · (301) 542-5404
Enumeration DateApril 9, 2026
Last NPPES UpdateApril 25, 20262 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1104768878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1737 KING ST STE 330, Alexandria, VA 22314
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARENT AND CHILD TREATMENT CENTER, LLC
Psychologist (Cognitive & Behavioral)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (703) 662-5212
INSIGHT PSYCHOTHERAPY AND ASSESSMENTS LLC
Psychologist (Clinical)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (703) 589-9878
EMPOWERHER PSYCHIATRY
Psychiatry & Neurology (Psychiatry)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (202) 240-7883
EMILY PRUSATOR LCSW
Social Worker (Clinical)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (703) 957-8573
SUNFLOWER HAVEN WELLNESS
Counselor (Professional)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (703) 520-9710
DR. LISA LASHUK PSY.D., PH.D.
Psychologist (Clinical)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (919) 636-0087
EMILY PRUSATOR LLC
Social Worker (Clinical)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (703) 957-8573
JONATHAN YODER PMHNP PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1737 KING ST STE 330
ALEXANDRIA, VA 22314
Alexandria City (703) 420-3621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bespoke Psychiatry Of Northern Virginia's NPI number?

The NPI number for Bespoke Psychiatry Of Northern Virginia is 1104768878. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Bespoke Psychiatry Of Northern Virginia located?

Bespoke Psychiatry Of Northern Virginia is located at 1737 King St Ste 330, Alexandria, VA 22314. The listed phone number is (301) 642-5404.

What is Bespoke Psychiatry Of Northern Virginia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bespoke Psychiatry Of Northern Virginia was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.