Provider Demographics
NPI:1558076778
Name:RISE PSYCHIATRY LLC
Entity Type:Organization
Organization Name:RISE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTUNDUAGA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:202-596-7473
Mailing Address - Street 1:1634 I ST NW STE 550
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-4069
Mailing Address - Country:US
Mailing Address - Phone:202-596-7473
Mailing Address - Fax:202-596-7473
Practice Address - Street 1:1634 I ST NW STE 550
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4069
Practice Address - Country:US
Practice Address - Phone:202-596-7473
Practice Address - Fax:202-596-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty