Mental Swellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTAL SWELLNESS

Practice address

5037 Halifax Rd Ste U4
Halifax, VA 24558-3243

Phone

(434) 303-2300

NPI assigned

Oct 29, 2021

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan J Zamora, NPNPI 1992354476

Title

Pmhnp

Phone

(434) 303-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Megan Jean Zamora

  • Psychiatric/Mental Health Nurse Practitioner
  • Halifax, VA
  • NPI 1992354476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1558025023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BUENA VISTA DR",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582152",
            "telephone_number": "973-769-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 HALIFAX RD STE U4",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245583243",
            "telephone_number": "434-303-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL SWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "434-303-2300",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Halifax, VA
• Providers in Halifax, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.