Open Mind Mental Health Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

OPEN MIND MENTAL HEALTH INC

Practice address

5241 Alzeda Dr
La Mesa, CA 91941-5726

Phone

(619) 940-0042

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Craig Beach, MD

Title

Ceo

Phone

(619) 940-0159

Specialties & licenses 1

Addresses

Other names 1

• Open Mind Health Doing business as

Practitioners 1

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

• Kimberly Ann Roelands, LMFT

  • Marriage & Family Therapist
  • Folsom, CA
  • NPI 1790451110
  NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1053910158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 ALZEDA DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415726",
            "telephone_number": "619-940-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 ALZEDA DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415726",
            "telephone_number": "619-940-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MIND MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-940-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Mind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Onderdonk, LCSW
• One Tree Inc
• Carole Oneil, PHD ORDAINED CLERGY
• Jose Ontiveros
• Open Heart Leaders
• Randa Oraha
• Ashley Oriotis, PT, DPT
• Carl Eric Orr, MD
• Gresia Limanjary Ortega-Rivas, AMFT
• OT & Me Pediatrict Occupational Therapy Services Inc.

• Psychiatry Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.