MIND MATTERS PSYCHIATRY LLC NPI 1033511324

NPI Information

NPI: 1033511324
Provider Name: MIND MATTERS PSYCHIATRY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
10721 MAIN ST
SUITE 2450
FAIRFAX, VA
ZIP 22030
Phone: (703) 940-5000
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MIND MATTERS PSYCHIATRY, LLC is an adult mental health clinic center in Fairfax, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIND MATTERS PSYCHIATRY, LLC NPI is 1033511324. The provider is registered as an organization entity type.

The provider's business location address is:

10721 MAIN ST
SUITE 2450
FAIRFAX, VA
ZIP 22030-914
Phone: (703) 940-5000

The provider's authorized official is Shruti Tewari .
The authorized official title is Psychiatrist and has the following contact phone number (703) 354-1452.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 9/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	0101249885	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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