Vital Mind

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VITAL MIND

Practice address

525 Eastern Ave Ste B3
Fairmount Heights, MD 20743-1677

Phone

(703) 980-0478

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Ebunoluwa Lawal

Title

Ceo

Phone

(703) 980-0478

Specialties & licenses 3

Addresses

Tax ID family

Vital Mind2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital Mind

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairmount Heights, MD
  • NPI 1184587206
  NPD tax ID

Locations

Practitioners 1

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

• Grace O Akinjide

  • Professional Counselor
  • Washington, DC
  • NPI 1154776524
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1700565652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVE STE B3",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVE STE B3",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "703-980-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "EBUNOLUWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-980-0478"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Medical Group,Inc
• Carine Injoh Tempuh
• The Life Group
• Vital Mind
• Vital Mind
• We Care Chiropractic, LLC

• All providers in Fairmount Heights, MD
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.