Provider Demographics
NPI:1144640111
Name:VITAL PSYCHIATRY ASSOCIATES LLC
Entity type:Organization
Organization Name:VITAL PSYCHIATRY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEJPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-829-0593
Mailing Address - Street 1:105 N VIRGINIA AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3339
Mailing Address - Country:US
Mailing Address - Phone:703-829-0593
Mailing Address - Fax:888-959-2142
Practice Address - Street 1:105 N VIRGINIA AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3339
Practice Address - Country:US
Practice Address - Phone:703-829-0593
Practice Address - Fax:888-959-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012527912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty