Organization Active NPI

Galaxy Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1629955695
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GALAXY BEHAVIORAL HEALTH
Practice address
8990 Academic Loop Apt 204
Manassas, VA 20109-4013
Phone
(571) 279-8264
Fax
(571) 376-6540
NPI assigned
Aug 20, 2025
Last updated
Oct 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Authorized official

Name
Anansa Thompson, PMHNP-BCNPI 1710873765
Title
Owner
Phone
(571) 358-8771

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8990 Academic Loop Apt 204
Manassas, VA 20109-4013

Mailing address

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517
Phone (571) 279-8264

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": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1629955695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD STE 300",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092517",
            "telephone_number": "571-279-8264",
            "fax_number": "571-376-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 ACADEMIC LOOP APT 204",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094013",
            "telephone_number": "571-279-8264",
            "fax_number": "571-376-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANANSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-358-8771",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.