| Healthy Minds Psychiatry Services | |
|
19415 Deerfield Ave Ste 209 Lansdowne VA 20176-8471 | |
| (571) 559-2100 | |
| Not Available |
| Full Name | Healthy Minds Psychiatry Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19415 Deerfield Ave Ste 209, Lansdowne, Virginia |
| Authorized Official Name and Position | Kumar Bahl (OWNER) |
| Authorized Official Contact | 5715592100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Psychiatry Services 19415 Deerfield Ave Ste 209 Lansdowne VA 20176-8471 Ph: (571) 559-2100 | Healthy Minds Psychiatry Services 19415 Deerfield Ave Ste 209 Lansdowne VA 20176-8471 Ph: (571) 559-2100 |
| NPI Number | 1639414758 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 1456504901 |
|---|---|
| Medicare Enrollment ID | O20200528000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639414758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kumar Bahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093978934 PECOS PAC ID: 4981748225 Enrollment ID: I20120717000004 |
| Provider Name | Ogechukwu I Igbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730781857 PECOS PAC ID: 4082013644 Enrollment ID: I20210929001705 |
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