HOLISTIC PSYCHIATRY AND MEDICAL CENTER LLC
NPI 1184393159
Clinic/Center - Multi-Specialty in Stafford, VA
About Holistic Psychiatry And Medical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLISTIC PSYCHIATRY AND MEDICAL CENTER LLC (NPI 1184393159) is a healthcare organization registered as a multi-specialty in Stafford, Virginia and active in the NPI registry since September 2021. The organization lists Doris Cudjoe Owusu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holistic Psychiatry And Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Holistic Psychiatry And Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Holistic Psychiatry And Medical Center LLC's NPI number?
The NPI number for Holistic Psychiatry And Medical Center LLC is 1184393159. It was assigned to this organization in the NPPES registry on September 12, 2021.
Where is Holistic Psychiatry And Medical Center LLC located?
Holistic Psychiatry And Medical Center LLC is located at 556 Garrisonville Rd Ste 210, Stafford, VA 22554. The listed phone number is (301) 917-5808.
What is Holistic Psychiatry And Medical Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Holistic Psychiatry And Medical Center LLC enrolled in Medicare?
Yes. Holistic Psychiatry And Medical Center LLC is registered in the Medicare PECOS enrollment system.
When is Holistic Psychiatry And Medical Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Holistic Psychiatry And Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Holistic Psychiatry And Medical Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Holistic Psychiatry And Medical Center LLC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Holistic Psychiatry And Medical Center Llc · NPI 1184393159
Multi-Specialty organization in Stafford, Virginia. Organization record, active in the CMS NPPES registry since September 12, 2021.
## Identity
- **NPI:** 1184393159 (Entity type: Organization)
- **Enumerated:** September 12, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Doris Owusu, OWNER
## Practice location
- **Address:** 556 GARRISONVILLE RD STE 210, Stafford, VA 22554-7819
- **Phone:** (301) 917-5808 · **Fax:** (571) 774-4123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Certified Clinical Nurse Specialist (CNS) (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184393159) · Data from the CMS NPPES public registry.