MEDICARE: TODD AUGUSTUS MD PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1699507046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TODD AUGUSTUS MD PLLC

Provider Business Mailing Address
First Line	:	2100 WASHINGTON BLVD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5703
Country	:	US
Telephone Number	:	703-228-5192
Fax Number	:	703-228-1174

Provider Business Practice Location Address
First Line	:	2100 WASHINGTON BLVD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5703
Country	:	US
Telephone Number	:	703-228-5192
Fax Number	:	703-228-1174

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	TODD AUGUSTUS
Credential	:
Telephone Number	:	703-228-5192

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	01/24/2026

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