A Balanced Approach to Behavioral & Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

A BALANCED APPROACH TO BEHAVIORAL & MENTAL HEALTH

Practice address

1727 King St Ste 3
Alexandria, VA 22314-2700

Phone

(571) 695-2386

Fax

(571) 695-2252

NPI assigned

Apr 10, 2023

Last updated

Sep 26, 2023By 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. Kimmala Shetef Roundtree, PMHNPNPI 1205210788

Title

Psychiatric Nurse Practitioner

Phone

(703) 216-1812

Specialties & licenses 2

Addresses

Locations

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.

• Kimmala Shetef Roundtree, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1205210788
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1285329839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 KING ST STE 3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142700",
            "telephone_number": "571-695-2386",
            "fax_number": "571-695-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 KING ST STE 3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142700",
            "telephone_number": "571-695-2386",
            "fax_number": "571-695-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BALANCED APPROACH TO BEHAVIORAL & MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "KIMMALA",
        "authorized_official_middle_name": "SHETEF",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "703-216-1812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.