Active NPI
Rejuvenate Minds LLP
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muncie, IN
National Provider Identifier
1134923402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REJUVENATE MINDS LLP
- Practice address
- 3413 N Briarwood LN
Muncie, IN 47304-5210 - Phone
- (765) 400-1800
- NPI assigned
- Apr 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominyse Davis, NP
- Title
- General Partner
- Phone
- (765) 400-1800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3413 N Briarwood LN
Muncie, IN 47304-5210
Mailing address
3413 N Briarwood LN
Muncie, IN 47304-5210
National Provider Directory
National Provider DirectoryLocations
3413 N Briarwood Ln
Muncie, IN 47304
Phone (765) 400-1800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Muncie, IN
- NPI 1962066639
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743638400000",
"number": "1134923402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 N BRIARWOOD LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 N BRIARWOOD LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045210",
"telephone_number": "765-400-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVENATE MINDS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "DOMINYSE",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "765-400-1800",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
- Robbie Reiber
- Cassandra Ellen Reidt
- Robert N Reilly, MD
- Mary Beth Reinhard, MA
- Gabriel E Reising, MD
- Rejuvenate Residential Services LLC
- Rem Occazio, Inc.
- Rem Occazio, Inc.
- Renaissance Specialty Hospital of Central Indiana Operations Co LLC
- Renaissance Specialty Hospital of Central Indiana Operations Co., LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.