The Mind Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THE MIND CLINIC LLC

Practice address

8101 College Blvd Ste 100
Overland Park, KS 66210-2671

Phone

(913) 227-9605

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Sospeter OtienoNPI 1609418763

Title

Organizer

Phone

(913) 227-9605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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

• Sospeter Otieno, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Ottawa, KS
  • NPI 1609418763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1104519024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 COLLEGE BLVD STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 COLLEGE BLVD STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102671",
            "telephone_number": "913-227-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "OTIENO",
        "authorized_official_first_name": "SOSPETER",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "913-227-9605"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Headache & Pain Center, P.a.
• The Headache & Pain Center, P.a.
• The Headache & Pain Center, P.a.
• The Headache and Pain Center
• The Honey DO'S
• The Movement Clinic, LLC
• The Overland Park KS Endoscopy ASC LLC
• The Prairie Farmstead
• The Rehabilitation Institute of Kansas City
• The Sjoberg Group

• Psychiatric/Mental Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.