Mindful Alchemy Collective

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

MINDFUL ALCHEMY COLLECTIVE

Practice address

12968 SE 129TH CT
Happy Valley, OR 97086-4335

Phone

(971) 330-1382

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Albino

Title

Manager

Phone

(971) 330-1382

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1033945449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12968 SE 129TH CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864335",
            "telephone_number": "971-330-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 SE 129TH CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864335",
            "telephone_number": "971-330-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ALCHEMY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ALBINO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-330-1382"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Rene Miller
• Stephen Joe Miller, RPH
• Steven Miller, CSA
• Scott D. Mills, M.D.
• Laura D. Milner, PSY. D
• Francisco Miranda, N.MD, ND
• Melody Mitchell, LAC
• Monterey MC Care Properties, LLC
• Patricia Montoya Montoya Villegas
• Lezlie D Montoya, LMT

• Prescribing (Medical) Psychologist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Prescribing (Medical) Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.