Active NPI
Mindview Behavioral Health and Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1295208593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDVIEW BEHAVIORAL HEALTH AND WELLNESS
- Practice address
- 6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500 - Phone
- (877) 630-8934
- NPI assigned
- Jan 9, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Wanno Coomber Benjamin, PMHNP
- Title
- Ceo and Owner
- Phone
- (703) 332-9209
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Arlington, VA
- NPI 1578324117
National Provider Directory
National Provider Directory- Tax ID family
- Limbic LLC
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Mailing address
6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Phone (877) 630-8934
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073003398 | Medicaid | VA |
Other names 1
NPPES NPI Registry- Mindview Behavioral Health and Wellness
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2019.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546992000000",
"number": "1295208593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 DEMOCRACY BLVD STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208177500",
"telephone_number": "877-630-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 DEMOCRACY BLVD STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208177500",
"telephone_number": "877-630-8934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDVIEW BEHAVIORAL HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "WANNO",
"authorized_official_middle_name": "COOMBER",
"authorized_official_title_or_position": "CEO AND OWNER",
"authorized_official_telephone_number": "703-332-9209",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073003398",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mindview Behavioral Health and Wellness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.