Organization Active NPI

Havenmind PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1861308173
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HAVENMIND PLLC
Practice address
1549 Old Bridge Rd
Woodbridge, VA 22192-2749
Phone
(571) 334-0571
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Emelia Korkor
Title
Nurse Practitioner
Phone
(571) 334-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1549 Old Bridge Rd
Woodbridge, VA 22192-2749

Mailing address

1549 Old Bridge Rd
Woodbridge, VA 22192-2749

National Provider Directory

National Provider Directory

Locations

1549 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 490-8200

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1861308173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922749",
            "telephone_number": "571-334-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENMIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KORKOR",
        "authorized_official_first_name": "EMELIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "571-334-0571"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.