Mindful Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MINDFUL MEDICAL GROUP LLC

Practice address

1991 Crocker Rd Ste 600
Westlake, OH 44145-6976

Phone

(440) 373-7898

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Susmita Mookerjee, MD

Title

Owner

Phone

(440) 373-7898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MINDFUL MEDICAL GROUP Other name

Electronic endpoints 1

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1134780273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 600",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456976",
            "telephone_number": "440-373-7898",
            "fax_number": "440-617-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 600",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456976",
            "telephone_number": "440-373-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2023-09-06",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "MOOKERJEE",
        "authorized_official_first_name": "SUSMITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-373-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181522",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EMR/ EHR that ihas email, telemedicine and direct IMthat is HIPAA Compliant",
            "address_1": "1991 Crocker Rd Ste 600",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441456976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MINDFUL MEDICAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Miller
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• Michael D Miller, NP
• Rachel Anne Miller
• Mind/Body Occupational Therapy, LLC
• Andra Jean Mindling, PT, DPT
• Quinn Minnich
• Melissa Misencik, LISW-S
• Lyndsey Mitchell, OTR/L
• Steven Charles Mitchell, MD, MS

• Internal Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.