Active NPI
Beautiful Minds Wellness
- Psychiatry Physician
- Auburn, CA
National Provider Identifier
1164129292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.