MDV Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MDV BEHAVIORAL HEALTH LLC

Practice address

3101 N Hampton Dr
Alexandria, VA 22302-1513

Phone

(703) 944-6525

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Stephen BrobbeyNPI 1497318406

Title

Owner / Nurse Practitioner - Psych/

Phone

(703) 944-6525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Stephen Kwaku Brobbey

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, VA
  • NPI 1497318406

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1689425696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N HAMPTON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021513",
            "telephone_number": "703-944-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N HAMPTON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021513",
            "telephone_number": "703-944-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDV BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "BROBBEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER / NURSE PRACTITIONER - PSYCH/",
        "authorized_official_telephone_number": "703-944-6525"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.