Mind & Body Health Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIND & BODY HEALTH CLINIC

Doing business as

Mind & Body Health

Practice address

901 Dover Dr Ste 214
Newport Beach, CA 92660-5500

Phone

(407) 476-2005

Fax

(949) 612-7427

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Evan Reid Beecher

Title

Clinical Administrator

Phone

(949) 993-7432

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Mind & Body Health Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Christine Chai, MD

  • Gynecology Physician
  • Newport Beach, CA
  • NPI 1528042397
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1073272167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 214",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605500",
            "telephone_number": "407-476-2005",
            "fax_number": "949-612-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 214",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605500",
            "telephone_number": "407-476-2005",
            "fax_number": "949-612-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Dover Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605538",
            "country_code": "US",
            "telephone_number": "585-309-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND & BODY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "BEECHER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "949-993-7432"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "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": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "BT30077324",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHS",
            "affiliation": "N",
            "address_1": "901 Dover Dr",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926605538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mind & Body Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don Fredric Mills, M.D.
• James W Millspaugh III
• Christina Merie Milucky, LMFT, LAADC
• Gregory Stewart Mimm, MFT 25700 CALIFORNIA
• Raquel Alessondra Minasian, MD
• Mind and Body Nutrition
• Mind Over Matter Nursing Inc.
• Natalie Minden
• Ming Truong, DDS, Inc.
• Brittany Minna

• Primary Care Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.