Mindful Healing Group LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

MINDFUL HEALING GROUP LLC

Practice address

1485 Chain Bridge Rd Ste 302
MC Lean, VA 22101-4501

Phone

(703) 987-6500

Fax

(240) 219-3138

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Rankin, LCSW

Title

Practice Manager

Phone

(703) 987-6500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Victor Sakran, M.D.

  • Child & Adolescent Psychiatry Physician
  • MC Lean, VA
  • NPI 1922327196
  NPD

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1619612686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 LARKHAVEN TER",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393313",
            "telephone_number": "571-435-3334",
            "fax_number": "240-219-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 CHAIN BRIDGE RD STE 302",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014501",
            "telephone_number": "703-987-6500",
            "fax_number": "240-219-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-987-6500",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Miller
• Lindsay Miller, SLP
• Mark Louis Miller, DPM
• Mind Bridge Center LLC
• Mindbloom Psychiatry LLC
• Mindsparks
• Mindsparks. LLC
• Minerva Home Healthcare
• Mira Dental at Tysons Corner PLLC
• Maureen Miranda, PA-C, MSPAS, MPH

• Child & Adolescent Psychiatry Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.