Mindful Services Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

20040055A Issued in IN

Legal business name

MINDFUL SERVICES CENTER LLC

Practice address

9002 N Meridian St, Ste 200
Indianapolis, IN 46260

Phone

(317) 450-1942

Fax

(317) 732-5832

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Kurt A Moehle, PHDNPI 1720129505

Title

Member

Phone

(317) 450-1942

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kurt A Moehle, PH.D., H.S.P.P.

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1720129505
  NPD Authorized official

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1144722695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 W 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605232",
            "telephone_number": "317-450-1942",
            "fax_number": "317-732-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST, STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-450-1942",
            "fax_number": "317-732-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SERVICES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "MOEHLE",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-450-1942",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "20040055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mindful and Modern Methods for ABA, Inc
• Mindful Helpers LLC
• Mindful Pieces Behavior Therapy
• Mindful Steps Support Services LLC
• Mindfully, LLC
• Mindgent Healthcare Clinics, LLC
• Mindglow Mental Healthcare LLC
• Mindx Sciences

• Mental Health Clinic/Center (Including Community Mental Health Center) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.