Active NPI
Healthy Minds Psychiatry Services
- Psychiatry Physician
- Lansdowne, VA
National Provider Identifier
1639414758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- HEALTHY MINDS PSYCHIATRY SERVICES
- Practice address
- 19415 Deerfield Ave Ste 209
Lansdowne, VA 20176-8471 - Phone
- (571) 559-2100
- NPI assigned
- Nov 29, 2012
- Last updated
- May 13, 2024
- 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
- Kumar Bahl, MD
- Title
- Owner
- Phone
- (571) 559-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
19415 Deerfield Ave Ste 209
Lansdowne, VA 20176-8471
Mailing address
19415 Deerfield Ave Ste 209
Lansdowne, VA 20176-8471
Phone (571) 559-2100
National Provider Directory
National Provider DirectoryLocations
19415 Deerfield Ave
Ste 209
Leesburg, VA 20176
Phone (571) 375-6712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1639414758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVE STE 209",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768471",
"telephone_number": "571-559-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVE STE 209",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768471",
"telephone_number": "571-559-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY MINDS PSYCHIATRY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-29",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A",
"authorized_official_last_name": "BAHL",
"authorized_official_first_name": "KUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-559-2100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.