Ironwood Mind Center PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

IRONWOOD MIND CENTER PLLC

Practice address

14 Pidgeon Hill Dr Ste 320
Sterling, VA 20165-6133

Phone

(202) 792-9009

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Maninder Singh Bhutani, MDNPI 1265876833

Title

Director

Phone

(917) 361-4330

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Maninder Singh Bhutani, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1265876833
  NPD Authorized official

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1023831740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 TOWNCENTER PLAZA",
            "address_2": "PO BOX 607",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201647045",
            "telephone_number": "917-361-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PIDGEON HILL DR STE 320",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656133",
            "telephone_number": "202-792-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD MIND CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "BHUTANI",
        "authorized_official_first_name": "MANINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-361-4330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Serena Issa, B.S.
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• Child & Adolescent Psychiatry Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.