KAMPIEDA MEDICAL GROUP LLC NPI 1255921847

NPI Information

  • NPI: 1255921847
  • Provider Name: KAMPIEDA MEDICAL GROUP LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • CLIA Number: 49D2243208
  • Address: 8300 BOONE BLVD # 573
    VIENNA, VA
    ZIP 22182
  • Phone: (540) 446-2610

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NPI Details

KAMPIEDA MEDICAL GROUP LLC is a child and adolescent psychiatry psychiatry neurology in Vienna, VA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. KAMPIEDA MEDICAL GROUP LLC NPI is 1255921847. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8300 BOONE BLVD # 573
VIENNA, VA
ZIP 22182-626
Phone: (540) 446-2610
Fax: (540) 446-2612

The provider's authorized official is Gissella Mana .
The authorized official title is Owner and has the following contact phone number (540) 446-2610.

The CLIA number assigned to this NPI record is 49D2243208 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 9/27/2025.

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
1171M00000XCase Manager/Care CoordinatorNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentNo
4106H00000XMarriage & Family TherapistNo
52084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
6101YM0800XCounselorMental HealthNo
7207RH0002XInternal MedicineHospice and Palliative MedicineNo
8133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
92083B0002XPreventive MedicineObesity MedicineNo
10163W00000XRegistered NurseNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
122084S0012XPsychiatry & NeurologySleep MedicineNo
13163WI0500XRegistered NurseInfusion TherapyNo
14207Q00000XFamily MedicineNo
152084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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: 11/21/2025

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