Mind MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MIND MD

Doing business as

Lotus Health PC

Practice address

15221 Carrollton Blvd Ste 102
Carrollton, VA 23314-2325

Phone

(757) 922-3085

Fax

(866) 362-7725

NPI assigned

Jan 5, 2022

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corrina Cagle

Title

Operations Manager

Phone

(315) 283-1468

Specialties & licenses 1

Addresses

Other names 1

• Lotus Health PC Doing business as

Locations

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1831850429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15221 CARROLLTON BLVD STE 102",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142325",
            "telephone_number": "757-922-3085",
            "fax_number": "866-362-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15221 CARROLLTON BLVD STE 102",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142325",
            "telephone_number": "757-922-3085",
            "fax_number": "866-362-7725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Thimble Shoals Blvd Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064512",
            "country_code": "US",
            "telephone_number": "757-922-3085",
            "fax_number": "866-362-7725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3057 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Hayes",
            "state": "VA",
            "postal_code": "230723300",
            "country_code": "US",
            "telephone_number": "804-684-5522",
            "fax_number": "866-362-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "CORRINA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "315-283-1468"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Health PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mind MD (Lotus Health PC)
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• Psychiatry Physician in Carrollton, VA
• Providers in Carrollton, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.