Mindful Thoughts Psychiatry Walkin Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL THOUGHTS PSYCHIATRY WALKIN CLINIC

Practice address

8833 Old Silver Star Rd
Orlando, FL 32818-9074

Phone

(828) 390-8255

NPI assigned

Sep 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Octavia Burgess, PMHNP-BCNPI 1417714221

Title

Psychiatric Mental Health Pmhnp-BC

Phone

(828) 390-8255

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Octavia N Burgess, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1417714221
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1003643867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 OLD SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328189074",
            "telephone_number": "828-390-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 OLD SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328189074",
            "telephone_number": "828-390-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THOUGHTS PSYCHIATRY WALKIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH PMHNP-BC",
        "authorized_official_telephone_number": "828-390-8255",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.