Mind Body Institute of the Piedmont, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIND BODY INSTITUTE OF THE PIEDMONT, PLLC

Doing business as

Mind Body Institute Beyond

Practice address

450 W Hanes Mill Rd
Suite Number 224
Winston Salem, NC 27105-9141

Phone

(336) 298-8303

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David L. Mount, PSYDNPI 1962640748

Title

President/Ceo

Phone

(336) 298-8303

Specialties & licenses 4

Addresses

Other names 1

• Mind Body Institute Beyond Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• David L Mount, PSYD

  • Clinical Psychologist
  • Winston Salem, NC
  • NPI 1962640748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1073906335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 MONTRACHET CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270238369",
            "telephone_number": "336-298-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "address_2": "SUITE NUMBER 224",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-298-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY INSTITUTE OF THE PIEDMONT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MOUNT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-298-8303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Institute Beyond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grover Ray Mims III, MD
• Jacqueline Heder Mims, MD
• James Whitman Mims, MD
• Sierra Camille Mims, MD
• Mind and Body Home Care
• Mindbridge Behavioral Health PLLC
• Eugene Mindel, MD
• Mindlife Matters, PC
• David D Miner, MD
• Whitney Erin Miner, P.A.-C

• Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.