Northern Virginia Mental Health Institute

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

VA STATE FACILITY Issued in VA

Legal business name

NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE

Practice address

3302 Gallows Rd
Falls Church, VA 22042-3353

Phone

(703) 207-7158

Fax

(703) 207-7139

NPI assigned

Aug 17, 2006

Last updated

Jul 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila A Coverson, BS, RHIT

Title

Him Director/Privacy/Foia Officer

Phone

(703) 207-7158

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275646549. Details of each certification follow.

• CCN 494010 Hospital · Active · Details

Hospital certification: CCN 494010

Legal name

NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Aug 28, 1968

Last certification

Jan 28, 2009

Beds

129

Ownership / control type

State

Organization structure

OtherProprietary

Incorporated

Jan 1, 1968 in VA

Enrollment address

3302 Gallows Rd
Falls Church, VA 22042-3353

Hospital subgroups

Acute care

Listed as

Northern Virginia Mental Health InstiCCN 494010 · All quality measures

Type

Psychiatric

Ownership

Government - State

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Sitter-Barfoot Veterans Care Center

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1619184645

  Commonwealth of Virginia

  CMS ownership

Practitioners 1

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.

• Robespierre Maximilien Del Rio, MD

  • Psychiatry Physician
  • Falls Church, VA
  • NPI 1518980788
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1275646549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 GALLOWS ROAD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423398",
            "telephone_number": "703-207-7158",
            "fax_number": "703-207-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423353",
            "telephone_number": "703-207-7158",
            "fax_number": "703-207-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "COVERSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HIM DIRECTOR/PRIVACY/FOIA OFFICER",
        "authorized_official_telephone_number": "703-207-7158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, RHIT"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VA",
            "license": "VA STATE FACILITY",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-4010-5",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northern Virginia Medical Center
• Northern Virginia Medical Organization
• Northern Virginia Mental Health Institute
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• Northern Virginia Ophthalmology Assoc P.C
• Northern Virginia Ophthalmology Assoc P.C.
• Northern Virginia Oral and Facial Surgery, LLC (Falls Church Oral and Facial Surgery)

• Psychiatric Hospital in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Psychiatric Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.