Active NPI
Grateful Mind Mental Health Services Inc
- Adult Mental Health Clinic/Center
- Chesapeake, VA
National Provider Identifier
1891470670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- GRATEFUL MIND MENTAL HEALTH SERVICES INC
- Practice address
- 1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218 - Phone
- (757) 541-8390
- NPI assigned
- Jun 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Bowen, PMHNP
- Title
- Owner
- Phone
- (757) 541-8390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Mailing address
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone (757) 541-8390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
- NPI 1003329020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1891470670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 CROSSWAYS BLVD STE 250",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200218",
"telephone_number": "757-541-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 CROSSWAYS BLVD STE 250",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200218",
"telephone_number": "757-541-8390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRATEFUL MIND MENTAL HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-541-8390",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.