NPIMap

Organization Active NPI

Mindset Medical, LLC

  • Clinic/Center
  • Carmel, IN
National Provider Identifier
1194239129
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01078275A Issued in IN
Legal business name
MINDSET MEDICAL, LLC
Practice address
252 W Main St
Carmel, IN 46032-1760
Phone
(858) 924-1116
Fax
(858) 312-5397
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Dr. Kevin T Murphy, MDNPI 1730104167
Title
Owner
Phone
(619) 804-3359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 01078275A IN Primary

Addresses

Primary practice location

252 W Main St
Carmel, IN 46032-1760

Mailing address

16918 Dove Canyon Rd Ste 102
San Diego, CA 92127-3455
Phone (858) 924-1116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1194239129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273455",
            "telephone_number": "858-924-1116",
            "fax_number": "858-312-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W MAIN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321760",
            "telephone_number": "858-924-1116",
            "fax_number": "858-312-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-804-3359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01078275A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.