Organization Active NPI

Spruce Mind, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, VA
National Provider Identifier
1710505797
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SPRUCE MIND, LLC
Practice address
3033 Wilson Blvd Ste 700
Arlington, VA 22201-3868
Phone
(540) 680-9848
Fax
(540) 380-8442
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Brittany Lindon, PH.D.NPI 1477883320
Title
President
Phone
(540) 680-9848

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3033 Wilson Blvd Ste 700
Arlington, VA 22201-3868

Mailing address

3033 Wilson Blvd Ste 700
Arlington, VA 22201-3868
Phone (540) 680-9848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1710505797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 WILSON BLVD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013868",
            "telephone_number": "540-680-9848",
            "fax_number": "540-380-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WILSON BLVD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013868",
            "telephone_number": "540-680-9848",
            "fax_number": "540-380-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "LINDON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-680-9848",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.