Team Mentation PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TEAM MENTATION PLLC

Practice address

11708 Nickelsville Hwy Ste 2
Nickelsville, VA 24271-2872

Phone

(276) 248-1880

Fax

(276) 258-0616

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Derick Steven ReedyNPI 1427684562

Title

Owner

Phone

(276) 248-1880

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FABHDD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derick Steven Reedy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nickelsville, VA
  • NPI 1427684562

  TN

  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer L Reedy, FNP

  • Nurse Practitioner
  • Nickelsville, VA
  • NPI 1427681899
  Medicare reassignment Care Compare group NPD
• Kathryn Quinn Johnson, D.O.

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1356787873
  Medicare reassignment NPD
• Vincent Spencer, FNP-BC

  • Family Nurse Practitioner
  • Oakwood, GA
  • NPI 1588181853
  NPD (past)

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1942911417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "242710270",
            "telephone_number": "276-248-1880",
            "fax_number": "276-258-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 NICKELSVILLE HWY STE 2",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "242712872",
            "telephone_number": "276-248-1880",
            "fax_number": "276-258-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MENTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "DERICK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-248-1880"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickelsville Pharmacy Inc (Nickelsville Pharmacy)
• Nickelsville Rescue Squad
• Derick Steven Reedy, PMHNP-BC
• Jennifer L Reedy, FNP
• Meghan Elizabeth Salyer, CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Nickelsville, VA
• Providers in Nickelsville, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.