Active NPI
Mental Wellness Group PLLC
- Psychiatry Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MENTAL WELLNESS GROUP PLLC
- Practice address
- 3959 Electric Rd Ste 280
Roanoke, VA 24018-4572 - Phone
- (540) 427-7944
- Fax
- (540) 427-7945
- NPI assigned
- May 8, 2015
- Last updated
- Sep 23, 2018
- 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
- Dr. Malak Iskandar, D.O.
- Title
- Owner
- Phone
- (540) 427-7944
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
3959 Electric Rd Ste 280
Roanoke, VA 24018-4572
Mailing address
PO Box 20867
Roanoke, VA 24018-0526
Phone (540) 427-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2127907 | Mental Wellness Group, PLLC | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
3959 Electric Rd
Ste 280
Roanoke, VA 24018
Phone (540) 427-7944
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- Roanoke, VA
- NPI 1841581295
-
- Psychiatry Physician
- Roanoke, VA
- NPI 1487965471
-
- Professional Counselor
- Vinton, VA
- NPI 1962936518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537660800000",
"number": "1760860936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20867",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180526",
"telephone_number": "540-427-7944",
"fax_number": "540-427-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 ELECTRIC RD STE 280",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184572",
"telephone_number": "540-427-7944",
"fax_number": "540-427-7945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL WELLNESS GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2018-09-23",
"status": "A",
"authorized_official_last_name": "ISKANDAR",
"authorized_official_first_name": "MALAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-427-7944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- Menm, LLC (Miracle-Ear)
- Marie Michelle Menna
- Jo-Ann Mensidor
- Mental Health America of the Roanoke Valley
- Mental Health Associates Inc (Comprehensive Counseling Services)
- William S Mercer, PT
- Meredith M Arthur LTD (Shiloh Consultations)
- Wesley Meredith
- Stephen E Merricks, OPTICIAN
- Shana L Merrill, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.