Active NPI
Peace of Mind Behavioral Health LLC
- Child & Adolescent Psychiatry Physician
- Chesapeake, VA
National Provider Identifier
1578032082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- PEACE OF MIND BEHAVIORAL HEALTH LLC
- Practice address
- 131 Hanbury Rd W Ste B
Chesapeake, VA 23322-4379 - Phone
- (720) 244-9107
- NPI assigned
- Nov 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdul Mateen, MD
- Title
- Owner
- Phone
- (720) 244-9107
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
131 Hanbury Rd W Ste B
Chesapeake, VA 23322-4379
Mailing address
131 Hanbury Rd W Ste B
Chesapeake, VA 23322-4379
National Provider Directory
National Provider DirectoryLocations
131 Hanbury Rd W
Ste B
Chesapeake, VA 23322
Phone (720) 244-9107
135 Hanbury Rd W
Ste C1
Chesapeake, VA 23322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Nevada, MO
- NPI 1114061694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656633600000",
"number": "1578032082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 HANBURY RD W STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233224379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 HANBURY RD W STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233224379",
"telephone_number": "720-244-9107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-14",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "MATEEN",
"authorized_official_first_name": "ABDUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-244-9107",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.