TEAM MENTATION PLLC NPI 1942911417

NPI Information

NPI: 1942911417
Provider Name: TEAM MENTATION PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 49D2297036

Address:
11708 NICKELSVILLE HWY STE 200
NICKELSVILLE, VA
ZIP 24271
Phone: (276) 248-1880
Get Directions

TEAM MENTATION PLLC is a psychiatric/mental health nurse practitioner in Nickelsville, VA. TEAM MENTATION PLLC NPI is 1942911417. The provider is registered as an organization entity type.

The provider's business location address is:

11708 NICKELSVILLE HWY STE 200
NICKELSVILLE, VA
ZIP 24271-872
Phone: (276) 248-1880
Fax: (276) 258-0616

The provider's authorized official is Derick Steven Reedy .
The authorized official title is Psychiatric Mental Health Np and has the following contact phone number (276) 248-1880.

The CLIA number assigned to this NPI record is 49D2297036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2022 and was last updated on 4/15/2024.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	363L00000X	Nurse Practitioner		No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »