Mindsafe, PLLC

Primary specialty

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

Legal business name

MINDSAFE, PLLC

Practice address

824 N Altadena Ave
Royal Oak, MI 48067-3610

Phone

(248) 890-6671

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 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

Deanna Marie Iverson, LMSWNPI 1265054837

Title

Owner

Phone

(248) 890-6671

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, and the practitioner matching its NPPES authorized official.

• Deanna Marie Iverson, LMSW

  • Clinical Social Worker
  • Northville, MI
  • NPI 1265054837
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1164120259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N ALTADENA AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N ALTADENA AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673610",
            "telephone_number": "248-890-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSAFE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-890-6671",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter A Millward, MD
• Mind in Bloom PLLC
• Mind Over Matter Counseling
• Mind Wellness Counseling
• Mindful Healing & Wellness PLLC (Blaina Morgan LMSW)
• Alyson Miner, RD
• Eric Ming, CRNA
• Neil Marquez Miraflor, P.T.
• Carolyn Mirretti, LMSW
• Matthew Misiak, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.