Mindspace Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSPACE PSYCHOTHERAPY LLC

Practice address

515 Court St Ste 2E
Reno, NV 89501-1710

Phone

(775) 379-3529

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Nalini Channapatna Prasanna, LCSWNPI 1952720203

Title

Member

Phone

(775) 379-3529

Specialties & licenses 1

Addresses

Other names 1

• www.mindspacetherapy.com Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Nalini Channapatna Prasanna, LCSW

  • Clinical Social Worker
  • Reno, NV
  • NPI 1952720203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1124615968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 COURT ST STE 2E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011710",
            "telephone_number": "775-379-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COURT ST STE 2E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011710",
            "telephone_number": "775-379-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPACE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "CHANNAPATNA PRASANNA",
        "authorized_official_first_name": "NALINI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-379-3529",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "www.mindspacetherapy.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Min, M.D.
• Sedi Minaie, DNP
• Jennifer Marie Minard, APN
• Catherine Elizabeth Mindeguia, APRN
• Mindful Therapy LLC
• Mindy C Schwartz MD LLC
• Katrina Anne Miner
• Edwin Minera
• Alexander Mingo
• Minkaboo

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.