Mindful Providers, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDFUL PROVIDERS, PA

Practice address

6780 Horizon Rd Ste 102
Heath, TX 75032-2104

Phone

(972) 346-1885

Fax

(903) 454-2250

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By 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

Jennifer Lynn WoodNPI 1952440752

Title

Ceo

Phone

(901) 834-8040

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jennifer Lynn Wood

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1952440752
  Authorized official Same address or phone

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1114782547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 HORIZON RD STE 102",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750322104",
            "telephone_number": "972-346-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 HORIZON RD STE 102",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750322104",
            "telephone_number": "972-346-1885",
            "fax_number": "903-454-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PROVIDERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-834-8040"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wednesday McKinney
• Bethany L McLean, MD
• Mednow Management Corporation
• Kristi Messina, ATC, LAT
• Leah Grace Milestone
• Mindful Psychiatry, PA
• Mobo JV LLC
• Evans Ntenga Mochabo
• Jessica Moreno, PMHNP-BC
• Kobra Namdari Gurmendi, CNP

• Psychiatry Physician in Heath, TX
• Providers in Heath, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.