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MINDFUL MOUNTAIN WELLNESS CENTER
NPI 1083453161
Psychiatry & Neurology - Child & Adolescent Psychiatry in Roanoke, VA

Active since May 20, 2024
3140 CHAPARRAL DR STE 109C, ROANOKE, VA 24018(540) 792-3872(540) 767-6555 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Jan 16, 2026, Jan 2, 2026 and 1 more (4 updates tracked since 2024).

About Mindful Mountain Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL MOUNTAIN WELLNESS CENTER (NPI 1083453161) is a healthcare organization registered as a child & adolescent psychiatry in Roanoke, Virginia and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Roanoke and lists Ryan Matthew White, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1083453161
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMINDFUL MOUNTAIN WELLNESS CENTER
Location Address3140 CHAPARRAL DR STE 109CRoanoke, VA 24018-4355
Mailing Address3140 Chaparral Dr Ste 109cRoanoke, VA 24018-4355 · (540) 792-3872 · Fax (540) 767-6555
Phone(540) 792-3872
Fax(540) 767-6555
Organization SubpartNo
Authorized OfficialRyan Matthew WhitePsychiatrist · (210) 315-5629
Enumeration DateMay 20, 2024
Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1083453161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3140 CHAPARRAL DR STE 109C, Roanoke, VA 24018
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Secondary Practice Location 1

Location 14734 Hickory Hill DrRoanoke, VA 24018-7430 · Phone (210) 315-5629

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Mountain Wellness Center's NPI number?

The NPI number for Mindful Mountain Wellness Center is 1083453161. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Mindful Mountain Wellness Center located?

Mindful Mountain Wellness Center is located at 3140 Chaparral Dr Ste 109C, Roanoke, VA 24018. The listed phone number is (540) 792-3872.

What is Mindful Mountain Wellness Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mindful Mountain Wellness Center was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.