Mind the Gap Neuropsychology Services PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1087 Issued in OK

Legal business name

MIND THE GAP NEUROPSYCHOLOGY SERVICES PLLC

Practice address

10621 Haskell LN
Oklahoma City, OK 73162-8212

Phone

(602) 625-1943

NPI assigned

Oct 23, 2017

Last updated

Nov 22, 2017By 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

Melanie Talley, PSYD

Title

Psychologist

Phone

(602) 625-1943

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1114438785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 HASKELL LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731628212",
            "telephone_number": "602-625-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 HASKELL LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731628212",
            "telephone_number": "602-625-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND THE GAP NEUROPSYCHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-625-1943",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "1087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Mims Jr., B.A.
• Mark Matthew Mims, MD
• Roberta Mims, NORTHCARE CREDENTIAL
• Kyung Whan Min, MD
• Brian Behnum Minavi, D.D.S.
• Mind the Gap Therapy, PLLC
• Mind Works Consulting and Psychological Services
• Mind Your Health, Inc
• Mindful Psychiatric Consulting LLC
• Minding Minds

• Clinical Neuropsychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Neuropsychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.