Organization Active NPI

Peace of Mind Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yardley, PA
National Provider Identifier
1104637529
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACE OF MIND MENTAL HEALTH AND WELLNESS LLC
Practice address
930 Weber Dr
Yardley, PA 19067-4633
Phone
(732) 421-0973
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Davia Titus-Thomas, DNPNPI 1184313868
Title
Owner
Phone
(732) 421-0973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

930 Weber Dr
Yardley, PA 19067-4633

Mailing address

930 Weber Dr
Yardley, PA 19067-4633
Phone (732) 421-0973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250124000822 PA Part B Supplier - Clinic/Group Practice 2860921525 Receives reassigned benefits from 1 practitioner
Practice locations: Yardley, PA
O20250130003940 NJ Part B Supplier - Clinic/Group Practice 2860921525 Receives reassigned benefits from 1 practitioner
Practice locations: Trenton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1104637529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WEBER DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674633",
            "telephone_number": "732-421-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WEBER DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674633",
            "telephone_number": "732-421-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "TITUS-THOMAS",
        "authorized_official_first_name": "DAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-421-0973",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.