Organization Active NPI

Mindful Care LLC

  • Psychologist
  • Vega Baja, PR
National Provider Identifier
1194615039
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MINDFUL CARE LLC
Practice address
Plaza del Mercado
149 Calle Ramon Emeterio Betances
Vega Baja, PR 00693
Phone
(787) 210-2331
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Dr. Mitchlery Cardona Jimenez, PHDNPI 1700327798
Title
President
Phone
(787) 210-2331

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

Plaza del Mercado
149 Calle Ramon Emeterio Betances
Vega Baja, PR 00693

Mailing address

1 Calle Estacion Ste 1
Vega Alta, PR 00692-6541
Phone (787) 210-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326003519 PR Part B Supplier - Clinic/Group Practice 9638654767 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1194615039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE ESTACION STE 1",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926541",
            "telephone_number": "787-210-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL MERCADO",
            "address_2": "149 CALLE RAMON EMETERIO BETANCES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-210-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "CARDONA JIMENEZ",
        "authorized_official_first_name": "MITCHLERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-210-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.

Verify at the official NPI Registry.