Organization Active NPI

Pacific Mind & Wellness Psychiatric Care, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1558215467
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PACIFIC MIND & WELLNESS PSYCHIATRIC CARE, PLLC
Practice address
6196 Belay Drive
North Chesterfield, VA 23234
Phone
(804) 404-9276
NPI assigned
Feb 26, 2026
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Destiny Russell Gray, APRNNPI 1740929272
Title
Nurse Practitioner
Phone
(804) 835-0114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6196 Belay Drive
North Chesterfield, VA 23234

Mailing address

13926 Hull Street Rd
PO Box 3013
Midlothian, VA 23112-2004
Phone (804) 404-9276

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": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1558215467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13926 HULL STREET RD",
            "address_2": "PO BOX 3013",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122004",
            "telephone_number": "804-404-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 BELAY DRIVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-404-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MIND & WELLNESS PSYCHIATRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-21",
        "status": "A",
        "authorized_official_last_name": "RUSSELL GRAY",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-835-0114",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.