Mindful Aging Psychiatry Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MINDFUL AGING PSYCHIATRY SERVICES LLC

Practice address

6554 E Carondelet Dr
Tucson, AZ 85710-2117

Phone

(520) 664-5301

Fax

(520) 225-0699

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Karin Ohlson, GNP, PMHNP

Title

Nurse Practitioner

Phone

(520) 204-4480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• William Harant, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1083716658
  NPD (past)
• Steven Barry Hollander, DPM

  • Podiatrist
  • Tucson, AZ
  • NPI 1427165174
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1215527759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-664-5301",
            "fax_number": "520-225-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-664-5301",
            "fax_number": "520-225-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL AGING PSYCHIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "OHLSON",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "520-204-4480",
        "authorized_official_credential": "GNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mind 247 Practice LLC
• Mind Body and Soul Psychiatry PLLC
• Mind Over Chatter Therapy
• Mind Psychiatry
• Mindflex Outpatient Treatment Center LLC
• Mindful Connections Therapy
• Mindful Eyecare PLLC
• Mindful Medical Management LLC
• Mindful Sex and Relationship Therapy, LLC
• Mindsight

• Adult Mental Health Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.