Organization Active NPI

Mindbloom Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • MC Lean, VA
National Provider Identifier
1003757790
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDBLOOM PSYCHIATRY LLC
Practice address
7480 Birdwood Ave
MC Lean, VA 22102-7405
Phone
(571) 306-0601
NPI assigned
Apr 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Franca Bakane, PMHNP-BCNPI 1376119321
Title
Owner
Phone
(571) 306-0601

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7480 Birdwood Ave
MC Lean, VA 22102-7405

Mailing address

7480 Birdwood Ave
MC Lean, VA 22102-7405

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": "1775260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1003757790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 BIRDWOOD AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 BIRDWOOD AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027405",
            "telephone_number": "571-306-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBLOOM PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A",
        "authorized_official_last_name": "BAKANE",
        "authorized_official_first_name": "FRANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-306-0601",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; 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.