Organization Active NPI

Healthy Minds Psychiatry Services

  • Psychiatry Physician
  • Lansdowne, VA
National Provider Identifier
1639414758
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.