Individual provider Active NPI

Mina Vahdati

  • Behavior Analyst
  • Gainesville, VA
National Provider Identifier
1497211429
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001794 Issued in VA
Practice address
8189 Peggys CT
Gainesville, VA 20155-2922
Phone
(571) 201-0516
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133001794 VA Primary

Addresses

Primary practice location

8189 Peggys CT
Gainesville, VA 20155-2922

Mailing address

8189 Peggys CT
Gainesville, VA 20155-2922
Phone (571) 201-0516

Other practice location 1

8001 Forbes Pl
Springfield, VA 22151-2208
Phone (571) 357-5582

Other practice location 2

9351 W Broad St
Henrico, VA 23294-5437
Phone (804) 596-3275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0133001794VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mergeminds LLC CurrentSince Jun 8, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1497211429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8189 PEGGYS CT",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552922",
            "telephone_number": "571-201-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8189 PEGGYS CT",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552922",
            "telephone_number": "571-201-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Forbes Pl",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221512208",
            "country_code": "US",
            "telephone_number": "571-357-5582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9351 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232945437",
            "country_code": "US",
            "telephone_number": "804-596-3275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHDATI",
        "first_name": "MINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.