Active NPI
Mind Algn LLC
- Psychiatric/Mental Health Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1861003121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.