Organization Active NPI

Goal Mind Inc.

  • Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1053093195
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Domonique LouisNPI 1720663701
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.