Minding Your Body

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDING YOUR BODY

Practice address

250 Bel Marin Keys Boulevard
Suite D1
Nevato, CA 94949

Phone

(707) 409-0852

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michell Torres, LCSWNPI 1912066903

Title

President

Phone

(510) 747-8006

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michell Torres, LCSW

  • Clinical Social Worker
  • Vallejo, CA
  • NPI 1912066903
  NPD Authorized official

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1063073583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FILLMORE ST # 380-1019",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151814",
            "telephone_number": "707-409-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEL MARIN KEYS BOULEVARD",
            "address_2": "SUITE D1",
            "city": "NEVATO",
            "state": "CA",
            "postal_code": "94949",
            "telephone_number": "707-409-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDING YOUR BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-747-8006",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.