NPIMap

Organization Active NPI

Radiant Minds Psychiatry, LLC

  • Psychiatry Physician
  • Henrico, VA
National Provider Identifier
1073409926
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RADIANT MINDS PSYCHIATRY, LLC
Doing business as
Radiant Minds Psychiatry, LLC
Practice address
12199 Gayton Rd
Henrico, VA 23238-3201
Phone
(804) 496-2113
Fax
(804) 496-2091
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Mrs. Manjit Sangha, DNPNPI 1447661871
Title
Doctor of Nurse Practice
Phone
(804) 496-2113

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

12199 Gayton Rd
Henrico, VA 23238-3201

Mailing address

PO Box 3913
Glen Allen, VA 23058-3913
Phone (804) 496-2113

Other names 1

  • Radiant Minds Psychiatry, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250925002331 VA Part B Supplier - Clinic/Group Practice 7113422627 Receives reassigned benefits from 4 practitioners
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory
Tax ID family
Radiant Minds Psychiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1073409926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3913",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230583913",
            "telephone_number": "804-496-2113",
            "fax_number": "804-496-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12199 GAYTON RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383201",
            "telephone_number": "804-496-2113",
            "fax_number": "804-496-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT MINDS PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SANGHA",
        "authorized_official_first_name": "MANJIT",
        "authorized_official_title_or_position": "DOCTOR OF NURSE PRACTICE",
        "authorized_official_telephone_number": "804-496-2113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Minds Psychiatry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.