Organization Active NPI

Mind Algn LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1861003121
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND ALGN LLC
Practice address
7920 Norfolk Ave Ste 920
Bethesda, MD 20814-2524
Phone
(301) 656-3700
Fax
(240) 223-3755
NPI assigned
Aug 11, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Connie Decker
Title
Credentialing Manager
Phone
(480) 269-2971

National Provider Directory

National Provider Directory

Locations

7920 Norfolk Ave
Ste 290
Bethesda, MD 20814

7920 Norfolk Ave
Ste 920
Bethesda, MD 20814
Phone (301) 656-3700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

7920 Norfolk Ave Ste 920
Bethesda, MD 20814-2524

Mailing address

7920 Norfolk Ave Ste 920
Bethesda, MD 20814-2524
Phone (301) 656-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2024.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1861003121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 NORFOLK AVE STE 920",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142524",
            "telephone_number": "301-656-3700",
            "fax_number": "240-223-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 NORFOLK AVE STE 920",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142524",
            "telephone_number": "301-656-3700",
            "fax_number": "240-223-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ALGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-269-2971"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.