Mature Minds LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MATURE MINDS LLC

Practice address

428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261

Phone

(480) 280-4283

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Wendy M Bertram, LCSWNPI 1700410578

Title

President

Phone

(480) 280-4283

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.

• Wendy M Bertram, LCSW

  • Clinical Social Worker
  • Gilbert, AZ
  • NPI 1700410578
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1225812746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-280-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-280-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Chisum Ln",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970056",
            "country_code": "US",
            "telephone_number": "480-280-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATURE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-280-4283",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Reza Matthews, M.D.
• Karena Matthews
• Tara A Mattingly, DMD
• Faith Mattson
• Kristina Mattson
• Christie Mauco
• Pearl Anne Maurer, FNP-C
• Sonia Maus, PSYD
• Maxamed Maxamed
• Christy Maxey, MC, LPC

• Clinical Social Worker in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.