Tysons Mental Health Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TYSONS MENTAL HEALTH CENTER LLC

Practice address

450 West Broad Street
Suite 304
Falls Church, VA 22046-3318

Phone

(703) 270-5847

Fax

(703) 270-5848

NPI assigned

May 23, 2018

Last updated

May 23, 2018By 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

Mr. Mehdi Ebrahimi Boroumand

Title

Member/Manager

Phone

(301) 377-4626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1861983009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WEST BROAD STREET",
            "address_2": "SUITE 304",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463318",
            "telephone_number": "703-270-5847",
            "fax_number": "703-270-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WEST BROAD STREET",
            "address_2": "SUITE 304",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463318",
            "telephone_number": "703-270-5847",
            "fax_number": "703-270-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSONS MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI BOROUMAND",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "301-377-4626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Twumasi, NP
• Linnea Tyler
• Tana C Tyler, MD
• Tysons Dental Care PLLC
• Tysons Dental Corner PC
• Tysons Psychiatric Group
• Samantha A Tysz, MD
• Megan B Tzeng
• Krizia-Ivana Udquim, MD
• Vasantha Udugampola, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.