NPIMap

Organization Active NPI

Midlothian Behavioral Health Associates, LLC

  • Adult Mental Health Clinic/Center
  • Midlothian, VA
National Provider Identifier
1922326909
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MIDLOTHIAN BEHAVIORAL HEALTH ASSOCIATES, LLC
Practice address
14410 Sommerville CT
Suite 101
Midlothian, VA 23113-6835
Phone
(804) 897-9355
Fax
(804) 897-9359
NPI assigned
May 14, 2010
Last updated
May 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Mrs. Saima Saleem
Title
Office Manager
Phone
(804) 897-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

14410 Sommerville CT
Suite 101
Midlothian, VA 23113-6835

Mailing address

14410 Sommerville CT
Suite 101
Midlothian, VA 23113-6835
Phone (804) 897-9355

Other names 1

  • MBHA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111003000516 VA Part B Supplier - Clinic/Group Practice 6709058381 Receives reassigned benefits from 3 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

14410 Sommerville Ct
Ste 101
Midlothian, VA 23113
Phone (804) 897-9355

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1922326909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 SOMMERVILLE CT",
            "address_2": "SUITE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136835",
            "telephone_number": "804-897-9355",
            "fax_number": "804-897-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SOMMERVILLE CT",
            "address_2": "SUITE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136835",
            "telephone_number": "804-897-9355",
            "fax_number": "804-897-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN BEHAVIORAL HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-897-9355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.

Verify at the official NPI Registry.