Mindwaves Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17840 Issued in CA

Legal business name

MINDWAVES PSYCHOLOGICAL SERVICES, INC.

Practice address

4335 Van Nuys Blvd
184
Sherman Oaks, CA 91403-3727

Phone

(626) 331-6170

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By 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. John T Terrence, PSYD, PHD

Title

Owner

Phone

(626) 331-6170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1225348832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 VAN NUYS BLVD",
            "address_2": "184",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033727",
            "telephone_number": "626-331-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 VAN NUYS BLVD",
            "address_2": "184",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033727",
            "telephone_number": "626-331-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWAVES PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "TERRENCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-331-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rumana Mim
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• Mindfulness Wellness
• Parvin A Mirabadi, MD
• Teresa Josabeth Miranda Flores
• Amaya Miranda
• Miriana Care LLC
• Parniansadat Mirzasoleimanbarzi, DDS

• Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.