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

Organization subpart

No

Name

Mr. Mehdi Ebrahimi Boroumand

Title

Member/Manager

Phone

(301) 377-4626

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2018.

{
    "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": []
}

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• All providers in Falls Church, VA
• 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.