Active NPI
Still Mind LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lynchburg, VA
National Provider Identifier
1649015876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- STILL MIND LLC
- Doing business as
- Still Mind Psychiatry LLC
- Practice address
- 3730 Candlers Mountain Rd
Lynchburg, VA 24502-2240 - Phone
- (434) 233-0328
- NPI assigned
- Jun 28, 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
- Amaechi Fidelia Egbujuo, APRN, PMHNP-BC
- Title
- Manager
- Phone
- (772) 607-0782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3730 Candlers Mountain Rd
Lynchburg, VA 24502-2240
Mailing address
3730 Candlers Mountain Rd
Lynchburg, VA 24502-2240
Phone (434) 233-0328
Other names 1
- Still Mind Psychiatry LLC
National Provider Directory
National Provider DirectoryLocations
310 Avon St
Ste 2
Charlottesvle, VA 22902
Phone (434) 233-0328
3730 Candlers Mountain Rd
Apt 1064
Lynchburg, VA 24502
Phone (434) 233-0328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1649015876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 CANDLERS MOUNTAIN RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022240",
"telephone_number": "434-233-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 CANDLERS MOUNTAIN RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022240",
"telephone_number": "434-233-0328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL MIND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "EGBUJUO",
"authorized_official_first_name": "AMAECHI",
"authorized_official_middle_name": "FIDELIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "772-607-0782",
"authorized_official_credential": "APRN, 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": [
{
"organization_name": "Still Mind Psychiatry LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.