NPIMap

Organization Active NPI

Mentalmaptowellness

  • Group Psychotherapy Psychologist
  • Alexandria, VA
National Provider Identifier
1003531906
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
MENTALMAPTOWELLNESS
Practice address
300 N Washington St Ste 607
Alexandria, VA 22314-2544
Phone
(202) 656-3481
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrey FadeyevNPI 1619407673
Title
Founder
Phone
(202) 656-3481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

300 N Washington St Ste 607
Alexandria, VA 22314-2544

Mailing address

13300 Digges Ter
Fort Washington, MD 20744-6544
Phone (202) 656-3481

Other names 1

  • Mentalmaptowellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1003531906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 DIGGES TER",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446544",
            "telephone_number": "202-656-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 607",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142544",
            "telephone_number": "202-656-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALMAPTOWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "FADEYEV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "202-656-3481"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentalmaptowellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.