Code 3 Mind Health, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CODE 3 MIND HEALTH, INC.

Practice address

1315 Cedar St
Fort Bragg, CA 95437-3906

Phone

(707) 841-7057

Fax

(844) 244-9422

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By 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

Dr. Kianna Zielesch, PH.D.

Title

Psychologist/Founder/President

Phone

(707) 841-7057

Specialties & licenses 1

Addresses

Other names 1

• C3MH Other name

Electronic endpoints 1

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.

• Kathryn A Zielesch, PH. D.

  • Psychologist
  • Fort Bragg, CA
  • NPI 1689724031
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1083325914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CEDAR ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373906",
            "telephone_number": "707-841-7057",
            "fax_number": "844-244-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 CEDAR ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373906",
            "telephone_number": "707-841-7057",
            "fax_number": "844-244-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODE 3 MIND HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "ZIELESCH",
        "authorized_official_first_name": "KIANNA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "707-841-7057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drzielesch@code3mindhealth.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1315 Cedar St",
            "city": "Fort Bragg",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954373906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "C3MH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne Marie Cesario
• Deborah Chang
• Yulee Chang, PHARM.D.
• Coast Healthcare Supply (Karen Markard Jenkins)
• Coastal Functional Medicine
• Abraham P Cohen, CMT
• Tabetha Connell
• Phillip Conwell Jr., CRNA
• John Ernest Cottle Jr., D.O.
• County of Mendocino

• Psychologist in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.