Holystick,llc
NPI 1619506300ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Fairfax, VA
Nurse Practitioner, Psych/Mental Health in Fairfax, Virginia, registered in NPPES in April 2020. The authorized official on file is Hanul Jung, DOA, Ceo.
Overview
| NPI | 1619506300 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2020 |
| Last updated in NPPES | Jan 18, 2026 |
| Certified by provider | Jan 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Psych/Mental Health providers in Fairfax
- 1306786504
- 1184317000
- 1093573487
- 1891340055
- 1619632049
- 1073222311
- 1659153450
- 1851249486
- 1023939899
- 1255176129
- 1932999802
- 1003450412
All Nurse Practitioner, Psych/Mental Health providers in Virginia →