Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mukta Gautam-Dhakal

Individual provider Acute Care Nurse Practitioner · NPI 1275034837

Mukta Gautam-Dhakal is a Nurse Practitioner in Reston, Virginia. Qualified in 2017, 9 years ago. Practices with My Psychiatrist, LLC, a 15-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Virginia.

Years since qualifying
9
Licensed in
NJ, VA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

12359 Sunrise Valley Dr Ste 320
Reston, VA 20191-3463
Phone: (703) 596-4796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 Williamson St Ste 203, Elizabeth, NJ 07202-3671 — (732) 491-9597

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024177376 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 26NJ00806800 (NJ)

Record details

NPI number1275034837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice My Psychiatrist, Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Reston