NPIMap

Organization Active NPI

Mishra & Mishra, MD, PA

Doing business as McLean Neuroscience

  • Multi-Specialty Clinic/Center
  • McLean, VA
National Provider Identifier
1376599001
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MISHRA & MISHRA, MD, PA
Doing business as
McLean Neuroscience
Practice address
6845 Elm St Ste 700
MC Lean, VA 22101-3851
Phone
(703) 356-1105
Fax
(703) 356-0970
NPI assigned
May 25, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Leah GaedekeNPI 1336185677
Title
FNP/Clinic Administrator
Phone
(703) 356-1105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6845 Elm St Ste 700
MC Lean, VA 22101-3851

Mailing address

6845 Elm St Ste 700
MC Lean, VA 22101-3851
Phone (703) 356-1105

Other names 1

  • McLean Neuroscience Doing business as

National Provider Directory

National Provider Directory

Locations

6845 Elm St
Ste 700
McLean, VA 22101
Phone (703) 356-1105

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1376599001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 700",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013851",
            "telephone_number": "703-356-1105",
            "fax_number": "703-356-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 700",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013851",
            "telephone_number": "703-356-1105",
            "fax_number": "703-356-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHRA & MISHRA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "GAEDEKE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "FNP/CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "703-356-1105"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLean Neuroscience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.