Active NPI
Impact Minds Holdings LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scottsdale, AZ
National Provider Identifier
1063304848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- IMPACT MINDS HOLDINGS LLC
- Practice address
- 15170 N Hayden Rd Ste 2
Scottsdale, AZ 85260-2571 - Phone
- (928) 242-4901
- NPI assigned
- Jul 16, 2025
- Last updated
- Jul 16, 2025
- 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
- Steven Schapiro
- Title
- Owner
- Phone
- (561) 699-0706
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
15170 N Hayden Rd Ste 2
Scottsdale, AZ 85260-2571
Mailing address
15170 N Hayden Rd Ste 2
Scottsdale, AZ 85260-2571
National Provider Directory
National Provider DirectoryLocations
15170 N Hayden Rd
Ste 2
Scottsdale, AZ 85260
Phone (928) 242-4901
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1962396192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752624000000",
"number": "1063304848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15170 N HAYDEN RD STE 2",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15170 N HAYDEN RD STE 2",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602571",
"telephone_number": "928-242-4901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT MINDS HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A",
"authorized_official_last_name": "SCHAPIRO",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-699-0706"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.