MIND BODY CONNECTION, INC (NPI# 1134554793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134554793 |
| Entity Type | Organization |
| Organization Name | MIND BODY CONNECTION, INC |
| Other Organization Name | ANUPAMA KOMMU |
| Practice Address |
493 Blackwell Rd Suite 203 Warrenton VA 20186 |
| Mailing Address |
4441 Corral Rd Warrenton VA 20187 |
| Practice Telephone | 5713643095 |
| Practice Fax Number | 5403417091 |
| Mailing Telephone | 5713643095 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | DR. ANUPAMA T KOMMU (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5713643095 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004824 | VA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Anupama Kommu | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MIND BODY CONNECTION, INC. | 118 Oxford Place, Medford, OR 97504 |
| Street Address |
493 BLACKWELL RD SUITE 203 |
| City | WARRENTON |
| State | VA |
| Zip Code | 20186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295516 | The Fauquier Hospital Inc | Home Health | 493 Blackwell Rd, Ste 317, Warrenton, VA 20186-2628 | 2005-06-17 |
| 1841668399 | Joanna Waterhouse | Dietitian, Registered | 493 Blackwell Rd, Suite 202, Warrenton, VA 20186-2639 | 2015-09-14 |
| 1275960775 | Fauquier Medical Center LLC | General Acute Care Hospital | 493 Blackwell Rd, Warrenton, VA 20186-2639 | 2013-09-30 |
| 1548696677 | Fauquier Medical Center LLC | Home Health | 493 Blackwell Rd, Suite 317c, Warrenton, VA 20186-2639 | 2013-09-20 |
| 1518392760 | Anupama T Kommu | Psychologist | 493 Blackwell Rd, Warrenton, VA 20186-2639 | 2013-09-06 |
| 1528319662 | Virginia Sports Chiropractic of Warrenton | Chiropractor | 493 Blackwell Rd, Suite 117, Warrenton, VA 20186-2639 | 2012-09-28 |
| 1881956282 | Julie Letsen | Physician Assistant | 493 Blackwell Rd, Suite 202, Warrenton, VA 20186-2639 | 2012-06-12 |
| 1790086510 | Alicia D Fridgen | Physician Assistant | 493 Blackwell Rd, Suite 202, Warrenton, VA 20186-2639 | 2010-11-10 |
| 1821222183 | Robert C Dart Md Plc | Orthopaedic Surgery | 493 Blackwell Rd, Suite 101a, Warrenton, VA 20186-2628 | 2009-05-14 |
| 1376746719 | Angela Semerad | Physical Therapist | 493 Blackwell Rd, Warrenton, VA 20186-2639 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708704 | Melissa A. Griffith Crooks | Social Worker | In Luck Counseling, LLC, 92 Main Street, Warrenton, VA 20186 | 2020-04-02 |
| 1255757506 | Wecare Pharmacy LLC | Pharmacy | 516 Fletcher Dr, Warrenton, VA 20186 | 2014-03-11 |
| 1497031975 | Blue Ridge Orthopaedic Associates, PC | Physician Assistant | 52 W. Shirley Ave., Warrenton, VA 20186 | 2011-10-27 |
| 1215213939 | Bassim Mousa | Pharmacist | 276 Lee Hwy, Warrenton, VA 20186 | 2011-10-26 |
| 1770868721 | Denise Leanne Glasser | Pharmacist | 276 West Lee Highway, Warrenton, VA 20186 | 2011-10-20 |
| 1003117607 | Elizabeth A Lowell | Pharmacist | 189 Old Lee Hwy, Warrenton, VA 20186 | 2010-11-12 |
| 1396045688 | Suong Thu Nguyen | Pharmacist | 189 Lee Hwy, Warrenton, VA 20186 | 2010-11-02 |
| 1174830921 | Natalia Lueck | Counselor | 28 Ashby St Suite G101, Warrenton, VA 20186 | 2010-08-31 |
| 1568604742 | Harris Teeter, LLC | Pharmacy | 530 Fletcher Dr., Warrenton, VA 20186 | 2009-04-02 |
| 1396998480 | Act Family Program | Community/Behavioral Health | 39 Garrett Street, Suite 109, Warrenton, VA 20186 | 2008-11-03 |
| Find all providers in zip 20186 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134299092 | Robert A. Meyer | Psychologist | 9237 Pinehurst Drive, Warrenton, VA 20187-8301 | 2006-11-08 |
| 1518392760 | Anupama T Kommu | Psychologist | 493 Blackwell Rd, Warrenton, VA 20186-2639 | 2013-09-06 |
| 1255458113 | Robert B Iadeluca | Psychologist | 436 Hospital Dr, Warrenton, VA 20186-3026 | 2007-03-24 |
| 1821106881 | Carmen T Gonzalez | Psychologist | 92 Main St, Suite 202 #9, Warrenton, VA 20186-3366 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.