Active NPI
Mindflow LLC
- Exercise & Sports Psychologist
- Brentwood, TN
National Provider Identifier
1003534165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exercise & Sports Psychologist
- Legal business name
- MINDFLOW LLC
- Practice address
- 5341 Virginia Way
Brentwood, TN 37027-7531 - Phone
- (205) 903-2483
- NPI assigned
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Anthony Faraino Jr.
- Title
- Ceo
- Phone
- (205) 903-2483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exercise & Sports Psychologist | 103TE1100X | Primary |
Addresses
Primary practice location
5341 Virginia Way
Brentwood, TN 37027-7531
Mailing address
5341 Virginia Way
Brentwood, TN 37027-7531
National Provider Directory
National Provider DirectoryLocations
5341 Virginia Way
Brentwood, TN 37027
Phone (205) 903-2483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1003534165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 VIRGINIA WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 VIRGINIA WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277531",
"telephone_number": "205-903-2483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFLOW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "FARAINO",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "205-903-2483",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "103TE1100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.