Individual provider Active NPI

Heidi Nealey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1790495778
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024185722 Issued in VA
Practice address
9117 Church St
Manassas, VA 20110-5434
Phone
(571) 358-1275
Fax
(888) 358-1275
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024185722 VA Primary

Addresses

Primary practice location

9117 Church St
Manassas, VA 20110-5434

Mailing address

9117 Church St
Manassas, VA 20110-5434
Phone (571) 358-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003121 DC Practitioner - Nurse Practitioner 2365981941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024185722VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. CurrentSince May 31, 2024 Accepting new patients
Mindful Psychiatric & Mental Wellness Services, PLLC CurrentSince Mar 17, 2024 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince May 31, 2024 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Feb 1, 2025 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

1660 L St NW
Ste 430
Washington, DC 20036
Phone (202) 677-3302

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

4024 Plank Rd
Fredericksburg, VA 22407

1602 Village Market Blvd SE
Ste 250
Leesburg, VA 20175
Phone (667) 222-0381

9117 Church St
Manassas, VA 20110
Phone (202) 365-0247

9274 Corporate Cir
Manassas, VA 20110
Phone (703) 496-7804

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1790495778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 CHURCH ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105434",
            "telephone_number": "571-358-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 CHURCH ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105434",
            "telephone_number": "571-358-1275",
            "fax_number": "888-358-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALEY",
        "first_name": "HEIDI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.