NPIMap

Organization Active NPI

Mind and Body Infusion Therapies, LLC

  • Infusion Therapy Clinic/Center
  • Kirtland, OH
National Provider Identifier
1124661525
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MIND AND BODY INFUSION THERAPIES, LLC
Practice address
9264 Chillicothe Rd.
Unit #2
Kirtland, OH 44094
Phone
(216) 392-6088
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Amanda D. Angus, CRNANPI 1265857577
Title
Owner
Phone
(216) 392-6088

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

9264 Chillicothe Rd.
Unit #2
Kirtland, OH 44094

Mailing address

9264 Chillicothe Rd.
Unit #2
Kirtland, OH 44094
Phone (216) 392-6088

National Provider Directory

National Provider Directory

Locations

9264 Chillicothe Rd
Ste 2
Willoughby, OH 44094
Phone (216) 245-9196

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1124661525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9264 CHILLICOTHE RD.",
            "address_2": "UNIT #2",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "216-392-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9264 CHILLICOTHE RD.",
            "address_2": "UNIT #2",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "216-392-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY INFUSION THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "ANGUS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-392-6088",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.