The Mind Nest LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THE MIND NEST LLC

Practice address

4120 Saint Joseph Rd
New Albany, IN 47150-9750

Phone

(812) 227-6333

NPI assigned

Nov 30, 2024

Last updated

Nov 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kaitlin Fondren, PHDNPI 1235836677

Title

Owner

Phone

(812) 989-2002

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kaitlin Fondren, PHD

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1235836677
  NPD Authorized official

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1215753736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 ASHBURY DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SAINT JOSEPH RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509750",
            "telephone_number": "812-227-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND NEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "FONDREN",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-989-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in New Albany, IN
• Providers in New Albany, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.