Mind Matters Psychiatry, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0101249885 Issued in VA

Legal business name

MIND MATTERS PSYCHIATRY, LLC

Practice address

10721 Main St
Suite 2450
Fairfax, VA 22030-6914

Phone

(703) 940-5000

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shruti Tewari, M.D.

Title

Psychiatrist

Phone

(703) 354-1452

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1033511324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 MEADOW RUE LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034049",
            "telephone_number": "703-354-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 2450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-940-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "TEWARI",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "703-354-1452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0101249885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Chandler Milton
• Melissa Anne Mimidis Horwatt, M.S. CCC-SLP
• Jennifer McKee Min
• Kiho Min, MD
• John Robert Minarcik Jr., M.D.
• Mind Meadow Counseling LLC
• Mind Over Mayhem LLC
• Mindful Health L.L.C
• Mindful Legacy LLC
• Mindful Psychological Health, PLLC

• Adult Mental Health Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.