KAMPIEDA MEDICAL GROUP LLC
NPI 1255921847
Psychiatry & Neurology - Child & Adolescent Psychiatry in Vienna, VA
NPI Status: Active since January 19, 2021
Contact Information
8300 BOONE BLVD # 573
VIENNA, VA
ZIP 22182
Phone: (540) 446-2610
Fax: (540) 446-2612
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- CLIA Number: 49D2243208
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 11-16-2025
About KAMPIEDA MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Kampieda Medical Group Llc, a provider established in Vienna, Virginia operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1255921847 assigned on January 2021. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated one year ago. Kampieda Medical Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gissella Mana Agacnp-bc, Pmhnpbc (Owner)
- NPI
- 1255921847
- Provider Name
- KAMPIEDA MEDICAL GROUP LLC
- Entity Type
- Organization
- Location Address
- 8300 BOONE BLVD # 573 VIENNA, VA 22182
- Location Phone
- (540) 446-2610
- Location Fax
- (540) 446-2612
- Mailing Address
- 281 PEAR BLOSSOM RD STAFFORD, VA 22554
- Mailing Phone
- (540) 446-2610
- Mailing Fax
- (540) 446-2612
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2021
- Last Update Date
- 09-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 3 | 133VN1201X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 4 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 5 | 163WI0500X | Nursing Service Providers | Registered Nurse | |
| 6 | 163WP0807X | Nursing Service Providers | Registered Nurse | |
| 7 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 8 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 9 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 2083B0002X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 11 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 12 | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 13 | 2084S0012X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 14 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2243208
- Facility Type
- Home Health Agency
- Certificate Effective Date
- November 17, 2023
- Certificate Expiration Date
- November 16, 2025
- Laboratory Director
- GISSELLA M. MANA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kampieda Medical Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255921847, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255921847, enumerated as an "organization" on January 19, 2021.
The provider is located at 8300 BOONE BLVD # 573 VIENNA, VA 22182 and the phone number is (540) 446-2610.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
