Organization Active NPI

Just Mind Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1659254621
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JUST MIND PSYCHIATRY LLC
Practice address
712 H St NE Ste 1379
Washington, DC 20002-3627
Phone
(571) 275-5935
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Ivy Dzifa DzivenuNPI 1215741301
Title
Owner
Phone
(571) 275-5935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

712 H St NE Ste 1379
Washington, DC 20002-3627

Mailing address

712 H St NE Ste 1379
Washington, DC 20002-3627
Phone (571) 275-5935

Other practice location 1

2807 N Parham Rd Ste 320
Henrico, VA 23294-4458
Phone (571) 275-5935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250820001908 VA Part B Supplier - Clinic/Group Practice 1456850692 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA
O20260109003255 DC Part B Supplier - Clinic/Group Practice 1456850692 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Washington, DC

National Provider Directory

National Provider Directory

Locations

712 H St NE
Ste 1379
Washington, DC 20002
Phone (571) 275-5935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1659254621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 H ST NE STE 1379",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023627",
            "telephone_number": "571-275-5935",
            "fax_number": "877-565-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 H ST NE STE 1379",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023627",
            "telephone_number": "571-275-5935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 N Parham Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232944458",
            "country_code": "US",
            "telephone_number": "571-275-5935",
            "fax_number": "877-565-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUST MIND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "DZIVENU",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "DZIFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-275-5935"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.