Active NPI
Good Mind PLLC
- Adult Mental Health Clinic/Center
- Grosse Pointe Park, MI
National Provider Identifier
1184214942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- GOOD MIND PLLC
- Practice address
- 15324 E Jefferson Ave Ste 2
Grosse Pointe Park, MI 48230-1378 - Phone
- (586) 899-0814
- NPI assigned
- Jan 25, 2021
- Last updated
- Aug 1, 2022
- 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
- Yolanda Dobbyn
- Title
- Office Manager
- Phone
- (586) 899-0814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
15324 E Jefferson Ave Ste 2
Grosse Pointe Park, MI 48230-1378
Mailing address
15324 E Jefferson Ave Ste 2
Grosse Pointe Park, MI 48230-1378
Phone (586) 899-0814
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | goodmindmd.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15324 E Jefferson Ave
Ste 2
Grosse Pointe Park, MI 48230
Phone (586) 899-0814
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Grosse Pointe Park, MI
- NPI 1669034666
-
- Psychiatry Physician
- Dearborn, MI
- NPI 1821057159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1184214942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15324 E JEFFERSON AVE STE 2",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301378",
"telephone_number": "586-899-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15324 E JEFFERSON AVE STE 2",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301378",
"telephone_number": "586-899-0814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD MIND PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "DOBBYN",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "586-899-0814"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "goodmindmd.com",
"affiliation": "N",
"endpointDescription": "web sight",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Grosse Pointe Park",
"address_1": "15324 E Jefferson Ave Ste 2",
"city": "Grosse Pointe Park",
"state": "MI",
"country_code": "US",
"postal_code": "482301378",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.