Individual provider Active NPI

Doris T Mbony, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1528326337
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181742 Issued in VA
Practice address
7301 Forest Ave Ste 200
Richmond, VA 23226-3792
Phone
(804) 374-8112
NPI assigned
Apr 30, 2012
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R213008 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024181742 VA Primary

Addresses

Primary practice location

7301 Forest Ave Ste 200
Richmond, VA 23226-3792

Mailing address

4228 Wisconsin Ave NW
Washington, DC 20016-2138
Phone (202) 885-5600

Other practice location 1

5 W Back St
Fincastle, VA 24090-4368
Phone (540) 769-3964

Other practice location 2

19801 Observation Dr
Germantown, MD 20876-4070
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210714000816 VA Practitioner - Nurse Practitioner 9032539267 Reassigns benefits to 2 organizations
I20230531000154 MD Practitioner - Nurse Practitioner 9032539267 Reassigns benefits to 1 organization
I20230531000250 DC Practitioner - Nurse Practitioner 9032539267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Behavioral Health Authority CurrentSince Jan 4, 2025 Accepting new patients
Axis Healthcare Group CurrentSince Apr 3, 2023 Accepting new patients
Insight Physicians PC CurrentSince Jan 1, 2022 Accepting new patients
ABA Inc Past Accepting new patients
MCS, PC Psychiatric/Mental Health Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

1117 E West Hwy
Silver Spring, MD 20910
Phone 202360478714

804 Moorefield Park Dr
Ste 108
North Chesterfield, VA 23236
Phone (804) 323-8282

107 S 5th St
Richmond, VA 23219
Phone (804) 819-4000

2006 Bremo Rd
Ste 101
Richmond, VA 23226
Phone (804) 282-9425

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

2810 N Parham Rd
Ste 120
Richmond, VA 23294

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.dorismbony@134000.advancedmd-direct.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1528326337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162138",
            "telephone_number": "202-885-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 FOREST AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263792",
            "telephone_number": "804-374-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Back St",
            "address_purpose": "LOCATION",
            "city": "Fincastle",
            "state": "VA",
            "postal_code": "240904368",
            "country_code": "US",
            "telephone_number": "540-769-3964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19801 Observation Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764070",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBONY",
        "first_name": "DORIS",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R213008",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.