Provider Demographics
NPI:1104700707
Name:ANAND, SERENA NIRMAL (PSYD)
Entity type:Individual
Prefix:DR
First Name:SERENA
Middle Name:NIRMAL
Last Name:ANAND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 JEFFERSON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6629
Mailing Address - Country:US
Mailing Address - Phone:650-450-0292
Mailing Address - Fax:
Practice Address - Street 1:1220 N FILLMORE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-6503
Practice Address - Country:US
Practice Address - Phone:650-450-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008272103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical