Active NPI
Mind and Mood Psychological Services PLLC
- Clinical Psychologist
- Greensboro, NC
National Provider Identifier
1013628312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MIND AND MOOD PSYCHOLOGICAL SERVICES PLLC
- Practice address
- 430 Battleground Ave
Greensboro, NC 27401-2104 - Phone
- (336) 933-0938
- NPI assigned
- Dec 7, 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
- Jaimie Lunsford
- Title
- Sole Member
- Phone
- (919) 348-3817
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
430 Battleground Ave
Greensboro, NC 27401-2104
Mailing address
2715D Grandview Ave # 117
Greensboro, NC 27408-7811
National Provider Directory
National Provider DirectoryLocations
2715 Grandview Ave
Ste D
Greensboro, NC 27408
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Greensboro, NC
- NPI 1215648613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1013628312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715D GRANDVIEW AVE # 117",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 BATTLEGROUND AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012104",
"telephone_number": "336-933-0938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND AND MOOD PSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-07",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "LUNSFORD",
"authorized_official_first_name": "JAIMIE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "919-348-3817"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.