Active NPI
Goal Mind Inc.
- Psychiatry Physician
- Memphis, TN
National Provider Identifier
1053093195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GOAL MIND INC.
- Doing business as
- Goal Mind
- Practice address
- 2502 Mount Moriah Rd Ste A101
Memphis, TN 38115-1539 - Phone
- (844) 869-4625
- NPI assigned
- Aug 7, 2023
- 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
- Domonique Louis
- Title
- NP
- Phone
- (844) 869-4625
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2502 Mount Moriah Rd Ste A101
Memphis, TN 38115-1539
Mailing address
10164 Green Moss CV
Cordova, TN 38018-0115
Phone (844) 869-4625
Other names 1
- Goal Mind
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1720663701
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1053093195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10164 GREEN MOSS CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380180115",
"telephone_number": "844-869-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 MOUNT MORIAH RD STE A101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381151539",
"telephone_number": "844-869-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOAL MIND INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "LOUIS",
"authorized_official_first_name": "DOMONIQUE",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "844-869-4625"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goal Mind",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.