NPIMap

Organization Active NPI

Grace Health LLC

Doing business as Mindwell Psychology

  • Psychologist
  • Chantilly, VA
National Provider Identifier
1083591796
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GRACE HEALTH LLC
Doing business as
Mindwell Psychology
Practice address
14110 Robert Paris CT
Chantilly, VA 20151-4205
Phone
(703) 378-7998
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Adam Greene
Title
Owner
Phone
(804) 912-7814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

14110 Robert Paris CT
Chantilly, VA 20151-4205

Mailing address

4925 Jennway Loop
Moseley, VA 23120-1388
Phone (804) 912-7814

Other names 1

  • Mindwell Psychology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1083591796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 JENNWAY LOOP",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201388",
            "telephone_number": "804-912-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514205",
            "telephone_number": "703-378-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-912-7814"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindwell Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.