Mindscape Psychiatric Wellness Nursing Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDSCAPE PSYCHIATRIC WELLNESS NURSING CORPORATION

Doing business as

Mindscape Psychiatric Wellness

Practice address

915 Highland Pointe Dr Ste 250
Roseville, CA 95678-5421

Phone

(805) 766-0268

NPI assigned

Sep 18, 2026

Organization subpart

No

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

Authorized official

Name

Rex Ambatali, MSN, PMHNP-BC

Title

NP

Phone

(805) 766-0268

Specialties & licenses 1

Addresses

Other names 1

• Mindscape Psychiatric Wellness Doing business as

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1104738848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND POINTE DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785421",
            "telephone_number": "805-766-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND POINTE DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785421",
            "telephone_number": "805-766-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSCAPE PSYCHIATRIC WELLNESS NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "AMBATALI",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "805-766-0268",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindscape Psychiatric Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Michael Miller
• Susan Miller
• Travis Aaron Miller, M.D.
• Teresa Cecilia Mills
• Jamie Lyn Milotz, PSY.D.
• Alizon Edith Minjarez Romero
• Brett Jordan Minkin, R.R.T., N.P.S.
• Rose Minton
• Christel Dizon Miranda, MD
• Lisa M Miranda, P.A.-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.