NPIMap

Organization Active NPI

Mindsleep Health

  • Multi-Specialty Clinic/Center
  • Mechanicsburg, PA
National Provider Identifier
1053074732
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MINDSLEEP HEALTH
Practice address
5246 Simpson Ferry Rd # 331
Mechanicsburg, PA 17050-3514
Phone
(717) 516-5539
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Kawish GargNPI 1013164342
Title
Owner
Phone
(701) 936-1980

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5246 Simpson Ferry Rd # 331
Mechanicsburg, PA 17050-3514

Mailing address

5246 Simpson Ferry Rd # 331
Mechanicsburg, PA 17050-3514

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mindsleephealth@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211123001012 PA Part B Supplier - Clinic/Group Practice 6002205572 Receives reassigned benefits from 7 practitioners
Practice locations: Camp Hill, PA; Mechanicsburg, PA

National Provider Directory

National Provider Directory

Locations

355 N 21st St
Ste 306
Camp Hill, PA 17011
Phone (717) 516-5539

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1053074732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 SIMPSON FERRY RD # 331",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 SIMPSON FERRY RD # 331",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503514",
            "telephone_number": "717-516-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSLEEP HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "KAWISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-936-1980"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mindsleephealth@gmail.com",
            "affiliation": "N",
            "address_1": "5246 Simpson Ferry Rd # 331",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170503514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.