Organization Active NPI

Beautiful Minds Wellness

  • Psychiatry Physician
  • Auburn, CA
National Provider Identifier
1164129292
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEAUTIFUL MINDS WELLNESS
Practice address
13300 New Airport Rd Ste 102
Auburn, CA 95602-7407
Phone
(530) 217-3870
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Jason Brown
Title
Coo
Phone
(530) 217-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13300 New Airport Rd Ste 102
Auburn, CA 95602-7407

Mailing address

13300 New Airport Rd Ste 102
Auburn, CA 95602-7407
Phone (530) 217-3870

National Provider Directory

National Provider Directory

Locations

13300 New Airport Rd
Ste 102
Auburn, CA 95602
Phone (530) 217-3870

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1164129292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 NEW AIRPORT RD STE 102",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956027407",
            "telephone_number": "530-217-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 NEW AIRPORT RD STE 102",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956027407",
            "telephone_number": "530-217-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MINDS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "530-217-3870"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.