NPIMap

Organization Active NPI

Mindset, Inc.

  • Clinic/Center
  • Edina, MN
National Provider Identifier
1144265232
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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.
Title
Chief Executive Officer
Phone
(612) 251-4179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LP2828 MN Primary

Addresses

Primary practice location

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

Mailing address

14422 Hunters LN
Savage, MN 55378-2282
Phone (612) 251-4179

Other identifiers 1

IdentifierTypeStateIssuer
209K6MIOtherMNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

Other providers in Edina, MN

Sources for this page

  • 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.