Mindoula Health Inc.

Primary specialty

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

Legal business name

MINDOULA HEALTH INC.

Practice address

232 Capitol St
Charleston, WV 25301-2234

Phone

(888) 879-9786

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Couto

Title

SVP Operations

Phone

(954) 650-2802

Specialties & licenses 2

Addresses

Tax ID family

Mindoula Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mindoula Health Inc.

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1275289399
  NPD tax ID
• Mindoula Health Inc.

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1508421587
  NPD tax ID

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1154948180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 GEORGIA AVE STE 170",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CAPITOL ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012234",
            "telephone_number": "888-879-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDOULA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "COUTO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "954-650-2802"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Kirby Milroy, MD
• Kathleen Mimnagh, M.D.
• Minardi Eye Center, Inc.
• Lawrence Matthew Minardi
• Mind Mechanics Inc.
• Olga Minenko-McDaniel, MD
• Heather Miner
• Jovon Minimah-Beane
• Susan Marrash Minnerly
• Susan Minnich

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charleston, WV
• Providers in Charleston, WV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.