Active NPI
Numind Holdings Group
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
National Provider Identifier
1245026475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NUMIND HOLDINGS GROUP
- Practice address
- 1030 N Center Pkwy Ste 112
Kennewick, WA 99336-7160 - Phone
- (509) 910-4559
- Fax
- (509) 447-7455
- NPI assigned
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miguel De la Mora, DNP
- Title
- Owner
- Phone
- (509) 643-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1030 N Center Pkwy Ste 112
Kennewick, WA 99336-7160
Mailing address
1030 N Center Pkwy Ste 112
Kennewick, WA 99336-7160
Phone (509) 910-4559
Other names 1
- NuMind Psychiatry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1245026475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 112",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-910-4559",
"fax_number": "509-447-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 112",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-910-4559",
"fax_number": "509-447-7455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUMIND HOLDINGS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "DE LA MORA",
"authorized_official_first_name": "MIGUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-643-6350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NuMind Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.