Organization Active NPI

Paragon Medpsychiatry Servfices

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1790395176
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PARAGON MEDPSYCHIATRY SERVFICES
Practice address
9300 Forest Point Cir
Manassas, VA 20110-4765
Phone
(703) 493-1483
Fax
(470) 201-6414
NPI assigned
Jul 31, 2020
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Dana Mohl, MSN, FNP-C, PMHNP-BC
Title
Nurse Practitioner
Phone
(703) 463-8638

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

9300 Forest Point Cir
Manassas, VA 20110-4765

Mailing address

9300 Forest Point Cir
Manassas, VA 20110-4765
Phone (703) 493-1483

National Provider Directory

National Provider Directory

Locations

14330 Gideon Dr
Ste B
Woodbridge, VA 22192
Phone (571) 408-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23938/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1790395176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104765",
            "telephone_number": "703-493-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104765",
            "telephone_number": "703-493-1483",
            "fax_number": "470-201-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON MEDPSYCHIATRY SERVFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "MOHL",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "703-463-8638",
        "authorized_official_credential": "MSN, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.