Organization Active NPI

Imind Health LLC

Doing business as iMind Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1265921647
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
IMIND HEALTH LLC
Doing business as
iMind Health
Practice address
4640 Forbes Blvd # 375
Lanham, MD 20706-4323
Phone
(240) 249-0989
Fax
(240) 256-8887
NPI assigned
May 1, 2018
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Khanh-Linh Flynn
Title
Managing Partner
Phone
(703) 395-2109

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X NU
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X NU

Addresses

Primary practice location

4640 Forbes Blvd # 375
Lanham, MD 20706-4323

Mailing address

4640 Forbes Blvd # 375
Lanham, MD 20706-4323
Phone (240) 249-0989

Other names 1

  • iMind Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180810001456 DC Part B Supplier - Clinic/Group Practice 9537417324 Receives reassigned benefits from 25 practitioners
4 other NPIs on this enrollment
Practice locations: Lanham, MD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Imind Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

4640 Forbes Blvd
#375
Lanham, MD 20706
Phone (240) 249-0989

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1265921647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 FORBES BLVD # 375",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064323",
            "telephone_number": "240-249-0989",
            "fax_number": "240-256-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 FORBES BLVD # 375",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064323",
            "telephone_number": "240-249-0989",
            "fax_number": "240-256-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KHANH-LINH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-395-2109"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.