TEAM MENTATION PLLC NPI 1942911417

NPI Information

  • NPI: 1942911417
  • Provider Name: TEAM MENTATION PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 49D2297036
  • Address: 11708 NICKELSVILLE HWY STE 2
    NICKELSVILLE, VA
    ZIP 24271
  • Phone: (276) 248-1880

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NPI Details

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 2
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 Owner 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 3/4/2026.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2363L00000XNurse PractitionerNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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