Organization Active NPI

VJ 96 LLC

  • Psychiatry Physician
  • Salem, VA
National Provider Identifier
1679375299
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VJ 96 LLC
Practice address
400 E Burwell St
Salem, VA 24153-4329
Phone
(540) 387-3105
Fax
(540) 387-3653
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Jagdeep Singh Wander, MDNPI 1851527592
Title
Owner/Psychiatrist
Phone
(540) 397-5718

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

400 E Burwell St
Salem, VA 24153-4329

Mailing address

400 E Burwell St
Salem, VA 24153-4329
Phone (540) 387-3105

Other names 1

  • Salem Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603000648 VA Part B Supplier - Clinic/Group Practice 4789193699 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1679375299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E BURWELL ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534329",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E BURWELL ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534329",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VJ 96 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "WANDER",
        "authorized_official_first_name": "JAGDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "540-397-5718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.