Active NPI
Mind Health PC
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1639946635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 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
- MIND HELP PC
National Provider Directory
National Provider DirectoryNPI 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.