Mindset, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

LP2828 Issued in MN

Legal business name

MINDSET, INC.

Practice address

4005 W 65TH St
Suite 206
Edina, MN 55435-1720

Phone

(612) 251-4179

Fax

(952) 224-7990

NPI assigned

Jun 20, 2006

Last updated

Jan 3, 2009By 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

Dr. Linda Flies Carole, PSY.D.NPI 1336195874

Title

Chief Executive Officer

Phone

(612) 251-4179

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Linda Flies Carole, PSY.D.

  • Counseling Psychologist
  • Edina, MN
  • NPI 1336195874
  Authorized official Same address or phone

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230940800000",
    "number": "1144265232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 HUNTERS LN",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782282",
            "telephone_number": "612-251-4179",
            "fax_number": "952-224-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 206",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "612-251-4179",
            "fax_number": "952-224-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-01-03",
        "status": "A",
        "authorized_official_last_name": "CAROLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "FLIES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "612-251-4179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "LP2828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "209K6MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.