Active NPI
Mind Reset Therapy
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1205626900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MIND RESET THERAPY
- Practice address
- 34443 Chantilly CT
Farmington Hills, MI 48335-1439 - Phone
- (248) 252-3741
- NPI assigned
- May 7, 2025
- 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
- Corina Baldwin, LMSW
- Title
- Owner
- Phone
- (248) 282-3741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
34443 Chantilly CT
Farmington Hills, MI 48335-1439
Mailing address
34443 Chantilly CT
Farmington Hills, MI 48335-1439
Phone (248) 252-3741
Other names 1
- Mind Reset Therapy
National Provider Directory
National Provider DirectoryPractitioners & 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": "1746576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1205626900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34443 CHANTILLY CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351439",
"telephone_number": "248-252-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34443 CHANTILLY CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351439",
"telephone_number": "248-252-3741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND RESET THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "CORINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-282-3741",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mind Reset Therapy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.