Medicina Mentis Ad Gloriam Dei PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MEDICINA MENTIS AD GLORIAM DEI PLLC

Practice address

328 Office Square LN Ste 104
Virginia Beach, VA 23462-3648

Phone

(757) 490-9500

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 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

Dr. Duane Matthew Lawrence, MDNPI 1497718845

Title

Senior Clinician

Phone

(757) 490-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Duane Matthew Lawrence, MD

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1497718845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1285331462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 INDEPENDENCE BLVD STE 187",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555523",
            "telephone_number": "757-910-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 OFFICE SQUARE LN STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623648",
            "telephone_number": "757-490-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINA MENTIS AD GLORIAM DEI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "SENIOR CLINICIAN",
        "authorized_official_telephone_number": "757-490-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Meddows, M.D.
• Medical Careers Institute
• Medical Communication Technology
• Medical Facilities of America Lvii (Bayside Health & Rehabilitation Center)
• Medical Facilities of America VI & Xiii (Virginia Beach Healthcare & Rehabilitation Center)
• Karla Flavia Medina Perez
• Alyssa Danel Medina
• Janna Patricia Diamse Medina, RBT
• Riya Medley
• Rosie Burnett Medley, LCSW

• Psychiatry Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.