Organization Active NPI

Quiet Mind Psychotherapeutic Services, Inc.

  • Clinical Social Worker
  • Front Royal, VA
National Provider Identifier
1174905335
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008870 Issued in VA
Legal business name
QUIET MIND PSYCHOTHERAPEUTIC SERVICES, INC.
Practice address
11 Water St
Front Royal, VA 22630-3001
Phone
(540) 252-4997
Fax
(540) 551-3294
NPI assigned
Jun 24, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Sueann Faith Schwille, LCSWNPI 1508258484
Title
Vice President/Clinician
Phone
(540) 252-4997

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904008870 VA Primary

Addresses

Primary practice location

11 Water St
Front Royal, VA 22630-3001

Mailing address

1514 Hillcrest Dr
Front Royal, VA 22630-2938
Phone (540) 252-4997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150730012536 VA Part B Supplier - Clinic/Group Practice 8123332418 Receives reassigned benefits from 1 practitioner
Practice locations: Front Royal, VA

National Provider Directory

National Provider Directory

Locations

920 N Shenandoah Ave
Ste 101102
Front Royal, VA 22630
Phone (540) 252-4997

Practitioners & affiliated clinicians

Practitioners 3

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": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1174905335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 HILLCREST DR",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302938",
            "telephone_number": "540-252-4997",
            "fax_number": "540-551-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WATER ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303001",
            "telephone_number": "540-252-4997",
            "fax_number": "540-551-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET MIND PSYCHOTHERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "SCHWILLE",
        "authorized_official_first_name": "SUEANN",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "VICE PRESIDENT/CLINICIAN",
        "authorized_official_telephone_number": "540-252-4997",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.