Organization Active NPI

Mindtune LLC

  • Counseling Psychologist
  • San Diego, CA
National Provider Identifier
1245797091
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
MINDTUNE LLC
Practice address
4305 Gesner St Ste 215
San Diego, CA 92117-6677
Phone
(619) 586-9897
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Stephanie Wolfe, PHD
Title
Owner
Phone
(210) 837-8625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

4305 Gesner St Ste 215
San Diego, CA 92117-6677

Mailing address

111 Bancroft St # 4421
Jacksonville, NC 28540-3674
Phone (760) 712-9817

National Provider Directory

National Provider Directory

Locations

4305 Gesner St
Ste 215
San Diego, CA 92117
Phone (619) 268-1121

111 Bancroft St
#4421
Jacksonville, NC 28540

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1245797091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BANCROFT ST # 4421",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403674",
            "telephone_number": "760-712-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 GESNER ST STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176677",
            "telephone_number": "619-586-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDTUNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-837-8625",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.