NPIMap

Individual provider Active NPI

Mindy Mueller, PSYD

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1013036854
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21275 Issued in CA
Practice address
1301 Pine Ave
Long Beach, CA 90813-3124
Phone
(562) 216-1713
Fax
(562) 981-7569
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21275 CA Primary

Addresses

Primary practice location

1301 Pine Ave
Long Beach, CA 90813-3124

Mailing address

1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 216-1713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000226 CA Practitioner - Clinical Psychologist 3274770730 Reassigns benefits to 2 organizations
Practice locations: Fullerton, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seneca Healthcare DistrictGroup PAC ID 8820907140, 22 clinicians
San Bernardino Mountains Community Hospital DistrictGroup PAC ID 7012826878, 12 clinicians
Kern Valley Healthcare DistrictGroup PAC ID 8628069689, 19 clinicians
Bear Valley Community Health Care DistrictGroup PAC ID 0345138582, 28 clinicians

Practice addresses (Care Compare)

130 Brentwood Dr
Chester, CA 96020
Phone (530) 258-2067

199 Reynolds Rd
PO Box 737
Chester, CA 96020

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 436-3034

PO Box
Suite 1628
Lake Isabella, CA 93240

PO Box
Suite 1649
Big Bear Lake, CA 92315-1649

PO Box
Suite 737
Chester, CA 96020

PO Box
Suite 737
Chester, CA 96020-0737

Hospital & facility affiliations

  • Seneca District Hospital Hospital, Chester, CA, CCN 051327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21275CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teleconnect Therapies Clinical Current Accepting new patients
Seneca Healthcare District CurrentSince Feb 27, 2025 Accepting new patients
Seneca Healthcare District CurrentSince Feb 27, 2025 Accepting new patients
Seneca Healthcare District Current Accepting new patients
San Bernardino Mountains Community Hospital District CurrentSince Apr 14, 2013 Accepting new patients
Avalon Medical Development Corporation Past Accepting new patients

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1013036854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133124",
            "telephone_number": "562-216-1713",
            "fax_number": "562-981-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133124",
            "telephone_number": "562-216-1713",
            "fax_number": "562-981-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MINDY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.