Active NPI
VJ 96 LLC
- Psychiatry Physician
- Salem, VA
National Provider Identifier
1679375299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jagdeep Singh Wander, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Marion, VA
- NPI 1851527592
-
- Psychiatry Physician
- Salem, VA
- NPI 1295743433
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.