NPIMap

Organization Active NPI

Mind Healing & Wellness Center

  • Multi-Specialty Clinic/Center
  • Worcester, MA
National Provider Identifier
1114675246
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MIND HEALING & WELLNESS CENTER
Doing business as
Mind Healing & Wellness Center
Practice address
120 Stafford St
Worcester, MA 01603-1457
Phone
(508) 344-7530
NPI assigned
Mar 17, 2022
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Grace Mbuya, NPNPI 1104225341
Title
Manager
Phone
(508) 344-7530

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

120 Stafford St
Worcester, MA 01603-1457

Mailing address

21 SW Cutoff
Northborough, MA 01532-2135
Phone (508) 826-5818

Other practice location 1

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone (508) 344-7530

Other practice location 2

890 W Elliot Rd Fl 1
Gilbert, AZ 85233-5102
Phone (508) 344-7530

Other practice location 3

21 SW Cutoff
Northborough, MA 01532-2135
Phone (508) 344-7530

Other names 1

  • Mind Healing & Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240821000132 MA Part B Supplier - Clinic/Group Practice 8224576327 Receives reassigned benefits from 6 practitioners
Practice locations: Northborough, MA
O20250305002320 AZ Part B Supplier - Clinic/Group Practice 8224576327 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

21 SW Cutoff
Northborough, MA 01532
Phone (508) 344-7530

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1114675246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SW CUTOFF",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322135",
            "telephone_number": "508-826-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457",
            "telephone_number": "508-344-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15333 N Pima Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602717",
            "country_code": "US",
            "telephone_number": "508-344-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 W Elliot Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335102",
            "country_code": "US",
            "telephone_number": "508-344-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 SW Cutoff",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015322135",
            "country_code": "US",
            "telephone_number": "508-344-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND HEALING & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "MBUYA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-344-7530",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Healing & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Healing & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.