Organization Active NPI

Mind Stability LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1386465920
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND STABILITY LLC
Practice address
1104 W Broad St # 1015
Falls Church, VA 22046-2114
Phone
(301) 346-1595
NPI assigned
Oct 17, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Sika Yvette Yeme
Title
Owner
Phone
(301) 346-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1104 W Broad St # 1015
Falls Church, VA 22046-2114

Mailing address

1104 W Broad St # 1015
Falls Church, VA 22046-2114
Phone (301) 346-1595

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1386465920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W BROAD ST # 1015",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462114",
            "telephone_number": "301-346-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W BROAD ST # 1015",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462114",
            "telephone_number": "301-346-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND STABILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "YVETTE YEME",
        "authorized_official_first_name": "SIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-346-1595"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.