Mindful Psychiatric & Mental Wellness Services, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDFUL PSYCHIATRIC & MENTAL WELLNESS SERVICES, PLLC

Practice address

9117 Church St
Manassas, VA 20110-5434

Phone

(571) 358-1275

Fax

(888) 274-3906

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Heidi Nealey, PMHNP-BCNPI 1790495778

Title

Pmhnp-BC

Phone

(571) 358-1275

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.

• Heidi Nealey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
  • NPI 1790495778
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1467210443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 CHURCH ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105434",
            "telephone_number": "571-358-1275",
            "fax_number": "888-274-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 CHURCH ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105434",
            "telephone_number": "571-358-1275",
            "fax_number": "888-274-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHIATRIC & MENTAL WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "NEALEY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "571-358-1275",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Aibbs Miller, LPC
• Nancy Regina Frances Miller, LPC, LMFT
• Taylor Miller, RBT
• Constance Anne Mills, OT
• Mind Rise ABA VA LLC
• Kevin Minner
• Ann M Minnich, LCSW
• Payam Mir, MD
• Miracle Home Care LLC
• Victor Walter Miranda Colter, M.ED, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.