Organization Active NPI

Mindset Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • College Park, MD
National Provider Identifier
1245054329
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDSET WELLNESS CENTER
Practice address
4920 Niagara Rd Ste 102
College Park, MD 20740-1103
Phone
(301) 547-9369
Fax
(301) 747-7400
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Olubunmi SalamiNPI 1083087357
Title
Owner
Phone
(301) 547-9369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4920 Niagara Rd Ste 102
College Park, MD 20740-1103

Mailing address

4920 Niagara Rd Ste 102
College Park, MD 20740-1103

National Provider Directory

National Provider Directory
Tax ID family
Mindset Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1245054329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401103",
            "telephone_number": "301-547-9369",
            "fax_number": "301-747-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "SALAMI",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-547-9369"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.