Organization Active NPI

Mindful Paths Psychiatric Services

Doing business as Mindful Paths Psychiatry

  • Psychiatry Physician
  • Glen Allen, VA
National Provider Identifier
1568129278
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MINDFUL PATHS PSYCHIATRIC SERVICES
Doing business as
Mindful Paths Psychiatry
Practice address
2400 Old Brick Rd Ste 152
Glen Allen, VA 23060-5841
Phone
(917) 705-5075
Fax
(917) 970-9505
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Dr. Matthew F Way, MDNPI 1841518008
Title
Owner / Director
Phone
(917) 705-5075

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2400 Old Brick Rd Ste 152
Glen Allen, VA 23060-5841

Mailing address

2400 Old Brick Rd Ste 152
C/O Matthew Way MD
Glen Allen, VA 23060-5841
Phone (917) 705-5075

Other names 1

  • Mindful Paths Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Old Brick Rd
Ste 152
Glen Allen, VA 23060
Phone (917) 705-5075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1568129278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 OLD BRICK RD STE 152",
            "address_2": "C/O MATTHEW WAY MD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605841",
            "telephone_number": "917-705-5075",
            "fax_number": "917-970-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OLD BRICK RD STE 152",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605841",
            "telephone_number": "917-705-5075",
            "fax_number": "917-970-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATHS PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "917-705-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Paths Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.