MEDICARE: SALMASSIMD PSYCHIATRY 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1912858374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALMASSIMD PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	1900 CAMPUS COMMONS DR STE 100-235
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1561
Country	:	US
Telephone Number	:	703-348-0701
Fax Number	:	703-952-8390

Provider Business Practice Location Address
First Line	:	1900 CAMPUS COMMONS DR STE 100-235
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1561
Country	:	US
Telephone Number	:	703-348-0701
Fax Number	:	703-952-8390

Authorized Official
Title or Position	:	OWNER/CLINIC PSYCHIATRIST
Name	:	DR. SAM SALMASSI
Credential	:	MD
Telephone Number	:	703-348-0701

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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