NPIMap

Organization Active NPI

Mindwell Psychology

  • Psychologist
  • Chantilly, VA
National Provider Identifier
1750581955
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810002834 Issued in VA
Legal business name
MINDWELL PSYCHOLOGY
Practice address
14110 Robert Paris CT
Chantilly, VA 20151-4205
Phone
(703) 378-7998
Fax
(703) 378-6109
NPI assigned
Jul 25, 2007
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Rachna Varia, PHDNPI 1295123958
Title
Co-Owner, President
Phone
(703) 378-7998

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
Psychologist 103T00000X 0810002834 VA Primary

Addresses

Primary practice location

14110 Robert Paris CT
Chantilly, VA 20151-4205

Mailing address

14110 Robert Paris CT
Chantilly, VA 20151-4205
Phone (703) 378-7998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1750581955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514205",
            "telephone_number": "703-378-7998",
            "fax_number": "703-378-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514205",
            "telephone_number": "703-378-7998",
            "fax_number": "703-378-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "VARIA",
        "authorized_official_first_name": "RACHNA",
        "authorized_official_title_or_position": "CO-OWNER, PRESIDENT",
        "authorized_official_telephone_number": "703-378-7998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.