Integrated Minds, LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

INTEGRATED MINDS, LLC

Practice address

140 Saint Paul Dr
Fremont, OH 43420-9045

Phone

(419) 680-5152

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Marie Mills, MSN, APRN, PMHNP-BCNPI 1235700881

Title

Owner

Phone

(419) 680-5152

Specialties & licenses 1

Addresses

Other names 1

• Integrated Minds, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Theresa Marie Mills, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fremont, OH
  • NPI 1235700881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1225852908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAINT PAUL DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209045",
            "telephone_number": "419-680-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAINT PAUL DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209045",
            "telephone_number": "419-680-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-680-5152",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Minds, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction Psychiatry Physician in Fremont, OH
• Providers in Fremont, OH by specialty
• Addiction Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.