MEDICARE: COLUMBIA ASSOCIATES IN PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1699012930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA ASSOCIATES IN PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	2501 N GLEBE RD
Second Line	:	SUITE 303
City	:	ARLINGTON
State	:	VA
Zip	:	22207-3558
Country	:	US
Telephone Number	:	703-841-1290
Fax Number	:	703-841-1315

Provider Business Practice Location Address
First Line	:	2501 N GLEBE RD
Second Line	:	SUITE 303
City	:	ARLINGTON
State	:	VA
Zip	:	22207-3558
Country	:	US
Telephone Number	:	703-841-1290
Fax Number	:	703-841-1315

Authorized Official
Title or Position	:	OWNER
Name	:	GARY SPIVACK
Credential	:	M.D.
Telephone Number	:	703-841-1290

Provider Enumeration Date	:	01/07/2013
Last Update Date	:	12/22/2025

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