MIND MATTERS PSYCHIATRY, LLC (NPI# 1033511324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033511324 |
| Entity Type | Organization |
| Organization Name | MIND MATTERS PSYCHIATRY, LLC |
| Practice Address |
10721 Main St Suite 2450 Fairfax VA 22030-6914 |
| Mailing Address |
9120 Meadow Rue Ln Annandale VA 22003-4049 |
| Practice Telephone | 7039405000 |
| Mailing Telephone | 7033541452 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | DR. SHRUTI TEWARI (PSYCHIATRIST) |
| Authorized Official Telephone | 7033541452 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0101249885 | VA | Ambulatory Health Care Facilities |
| Street Address |
10721 MAIN ST SUITE 2450 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641959 | Raymond James Olkin | Podiatrist | 10721 Main St, Ste 103, Fairfax Medical Center, Fairfax, VA 22030-6914 | 2005-06-28 |
| 1003363003 | Jsa Homecare | Home Health | 10721 Main St, Suite 304, Fairfax, VA 22030-6914 | 2016-09-07 |
| 1609321611 | Complete Dermatology of Virginia, Inc. | Specialist | 10721 Main St, Suite 3100, Fairfax, VA 22030-6914 | 2016-08-19 |
| 1841686953 | Better Life Inc. | Chiropractor | 10721 Main St, 307, Fairfax, VA 22030-6914 | 2015-04-15 |
| 1053718924 | Family Pharmacy, Inc | Pharmacy | 10721 Main St, 107, Fairfax, VA 22030-6914 | 2014-11-20 |
| 1093159717 | Maple Chiropractic & Acupuncture Clinic, LLC | Chiropractor | 10721 Main St, Suite # 2500, Fairfax, VA 22030-6914 | 2013-04-24 |
| 1730465212 | William Linwood Outten IIi | Dentist | 10721 Main St, Suite 203, Fairfax, VA 22030-6902 | 2011-10-27 |
| 1679855183 | Julie Elwell | Social Worker | 10721 Main St, Ste. 2350, Fairfax, VA 22030-6914 | 2011-09-12 |
| 1063792448 | Hyun Kyn Choi | Acupuncturist | 10721 Main St, G7, Fairfax, VA 22030-6914 | 2011-08-17 |
| 1346538428 | Iconic Dagnostic Imaging Inc | Radiology | 10721 Main St, #204, Fairfax, VA 22030-6914 | 2011-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764669 | Greater Washington Counseling and Mental Health | Clinic/Center | 3900 University Dr Ste 320, Fairfax, VA 22030-2513 | 2017-07-28 |
| 1548657554 | Absolute Healthcare Resources, LLC | Clinic/Center | 3022 Javier Rd, Suite 104, Fairfax, VA 22031-4645 | 2015-04-17 |
| 1669511051 | Inova Health Care Services | Clinic/Center | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709615 | Life Worth Living Counseling, Ltd. | Clinic/Center | 223 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2020-10-30 |
| 1477150068 | Premier Mental Health Support | Clinic/Center | 490 Piney Forest Rd, Danville, VA 24540-4060 | 2020-10-06 |
| 1720609837 | Healthy Mind Pllc | Clinic/Center | 6551 Continental St, Williamsburg, VA 23188-7586 | 2020-04-29 |
| 1225661978 | Cavcity Counseling Inc. | Clinic/Center | 1020 Carrington Pl Fl 2, Charlottesville, VA 22901-1891 | 2020-02-20 |
| 1942855622 | Destine for Greatness, LLC | Clinic/Center | 1035 Bryce Ln, Virginia Beach, VA 23464-4500 | 2019-08-08 |
| 1407400203 | 360 Counseling & Services | Clinic/Center | 5509 Townsbury Terrrace, Chesterfield, VA 23832-9256 | 2019-07-30 |
| 1710449327 | Kemet Health One LLC | Clinic/Center | 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 | 2019-04-02 |
| 1134680796 | Your Path Counseling Center LLC | Clinic/Center | 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 | 2019-03-27 |
| 1245797083 | Reboot LLC | Clinic/Center | 7006 Old Reflection Dr, Mechanicsville, VA 23111-4284 | 2019-02-28 |
| 1679040976 | Hidden Roots Mental Health LLC | Clinic/Center | 205 E Broadway Ste 200, Hopewell, VA 23860-2809 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.