Clear Mind ADHD Treatment Center PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLEAR MIND ADHD TREATMENT CENTER PLLC

Practice address

540 W Iron Ave Ste 201
Mesa, AZ 85210-6027

Phone

(623) 203-6183

NPI assigned

May 18, 2023

Last updated

May 18, 2023By 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

Anthony OlorunsolaNPI 1205211802

Title

Owner

Phone

(623) 203-6183

Specialties & licenses 1

Addresses

Locations

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.

• Anthony Vincent Olorunsola, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1205211802
  NPD (past) Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1154012391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106027",
            "telephone_number": "623-203-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106027",
            "telephone_number": "623-203-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND ADHD TREATMENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "OLORUNSOLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-203-6183"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton R Polowy MD PC
• Christy Clayton, CPM
• Victoria Claytor
• Clean Air Cab, L.L.C.
• Clear Choice Physicians, LLC
• Clear Mind Mental Health Services PLLC
• Clear Mind Psychiatry and Wellness Center
• Clearly Smooth, PLLC
• Jennifer H Cleary, NP
• Taylor Clement

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.