Healthcare Provider Details

I. General information

NPI: 1689528093
Provider Name (Legal Business Name): OPENMIND PSYCHOLOGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9625 SURVEYOR CT STE 240
MANASSAS VA
20110-4408
US

IV. Provider business mailing address

9625 SURVEYOR CT STE 240
MANASSAS VA
20110-4408
US

V. Phone/Fax

Practice location:
  • Phone: 571-576-3700
  • Fax: 571-778-5003
Mailing address:
  • Phone: 571-576-3700
  • Fax: 571-778-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMI TEMPLE
Title or Position: OWNER
Credential:
Phone: 571-576-3700