Provider Demographics
NPI:1104956523
Name:RIVES, JAMES VELL IV (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VELL
Last Name:RIVES
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:901 N WASHINGTON ST STE 601
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1535
Mailing Address - Country:US
Mailing Address - Phone:703-596-1024
Mailing Address - Fax:
Practice Address - Street 1:901 N WASHINGTON ST. SUITE 601
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1913
Practice Address - Country:US
Practice Address - Phone:703-596-1024
Practice Address - Fax:703-596-1573
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01018404632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry