NPIMap

Organization Active NPI

Mindcare Solutions PC

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1992503544
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MINDCARE SOLUTIONS PC
Practice address
4414 Pheasant Ridge Rd
Roanoke, VA 24014-5276
Phone
(330) 319-4240
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Brian Nichols
Title
Sr VP of Revenue Operations
Phone
(330) 319-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

4414 Pheasant Ridge Rd
Roanoke, VA 24014-5276

Mailing address

3102 W End Ave Ste 1150
Nashville, TN 37203-1614
Phone (330) 319-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MO, VA, KS4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20160406000223 NH Part B Supplier - Clinic/Group Practice 2466779855 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH
O20250410001285 MO Part B Supplier - Clinic/Group Practice 2466779855 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Warrensburg, MO; Butler, MO; Lexington, MO; Lees Summit, MO; Kansas City, MO; Harrisonville, MO; Independence, MO; Belton, MO…
O20250425000318 VA Part B Supplier - Clinic/Group Practice 2466779855 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA; Yorktown, VA; Virginia Beach, VA; Suffolk, VA; Roanoke, VA; Lorton, VA; Hampton, VA; Fredericksburg, VA…
O20250804002302 KS Part B Supplier - Clinic/Group Practice 2466779855 Receives reassigned benefits from 9 practitioners
Practice locations: Wichita, KS; Scott City, KS; Plainville, KS; Overland Park, KS; Lyons, KS; Derby, KS; Colby, KS; Andover, KS

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4414 Pheasant Ridge Rd
Roanoke, VA 24014
Phone (330) 319-4240

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1992503544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 W END AVE STE 1150",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031614",
            "telephone_number": "330-319-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 PHEASANT RIDGE RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145276",
            "telephone_number": "330-319-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCARE SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SR VP OF REVENUE OPERATIONS",
        "authorized_official_telephone_number": "330-319-4240"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.