ANUPAMA KOMMU
NPI 1134554793
Psychologist - Clinical in Warrenton, VA

Q: What is Mind Body Connection, Inc's NPI number?

The NPI number for Mind Body Connection, Inc is 1134554793. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Anupama Kommu.

Q: What is Mind Body Connection, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 13, 2013

493 BLACKWELL RD, SUITE 203, WARRENTON, VA 20186(571) 364-3095(540) 341-7091 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Anupama Kommu NPPES

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

ANUPAMA KOMMU (NPI 1134554793) is a healthcare organization registered as a clinical in Warrenton, Virginia and active in the NPI registry since September 2013. The organization lists Anupama T Kommu, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1134554793

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMIND BODY CONNECTION, INC

Location Address493 BLACKWELL RD, SUITE 203Warrenton, VA 20186

Mailing Address4441 Corral RdWarrenton, VA 20187 · (571) 364-3095

Phone(571) 364-3095

Fax(540) 341-7091

Organization SubpartNo

Authorized OfficialAnupama T KommuLicensed Clinical Psychologist · (571) 364-3095

Enumeration DateSeptember 13, 2013

Last NPPES UpdateOctober 29, 2019

✔ NPI 1134554793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810004824

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

493 BLACKWELL RD, Warrenton, VA 20186

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Other Names 1

Doing Business AsAnupama Kommu

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anupama Kommu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anupama Kommu, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anupama Kommu, PSYD

Clinical Psychologist

NPI 1518392760

402 HOSPITAL DR
Warrenton, VA 20186

(571) 364-3095

✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mind Body Connection, Inc's NPI number?

The NPI number for Mind Body Connection, Inc is 1134554793. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Anupama Kommu.

Where is Mind Body Connection, Inc located?

Mind Body Connection, Inc is located at 493 Blackwell Rd Suite 203, Warrenton, VA 20186. The listed phone number is (571) 364-3095.

What is Mind Body Connection, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mind Body Connection, Inc enrolled in Medicare?

Yes. Mind Body Connection, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Body Connection, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mind Body Connection, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mind Body Connection, Inc was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.