Mind to Mindful

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

MIND TO MINDFUL

Practice address

4190 Douglas Blvd Ste 300
Granite Bay, CA 95746-5918

Phone

(517) 759-5551

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Douglas W Wood

Title

Operations Director

Phone

(517) 759-5551

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.

• Simone Levinson, PSYD

  • Psychologist
  • Walnut Creek, CA
  • NPI 1306053186
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1063979839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492860242",
            "telephone_number": "517-759-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 DOUGLAS BLVD STE 300",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957465918",
            "telephone_number": "517-759-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND TO MINDFUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "517-759-5551"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Miller, M.D.
• Keven R. Mills, D.D.S.
• Connor John Milnes
• Marina V Milstein, DDS, MSC
• Briana Mims
• Amada Miranda
• Mixed Athletic Performance Training
• Shelby Marie Monis
• Sara Elizabeth Montana
• Anamarie Morales

• Group Psychotherapy Psychologist in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.