Organization Active NPI

Mind Health PC

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1639946635
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIND HEALTH PC
Practice address
1647 Benning Rd NE Ste 304
Washington, DC 20002-4588
Phone
(301) 233-5054
Fax
(301) 218-1908
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Ismail M Kalokoh, MD
Title
Ceo/Physician
Phone
(301) 233-5054

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

1647 Benning Rd NE Ste 304
Washington, DC 20002-4588

Mailing address

1709 Kings Manor Dr
Bowie, MD 20721-2001
Phone (301) 233-5054

Other names 2

  • MIND HELP Doing business as
  • MIND HELP PC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1639946635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KINGS MANOR DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212001",
            "telephone_number": "301-233-5054",
            "fax_number": "301-218-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE STE 304",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024588",
            "telephone_number": "301-233-5054",
            "fax_number": "301-218-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "KALOKOH",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "301-233-5054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIND HELP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIND HELP PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.