NPIMap

Organization Active NPI

Mynd Thera PLLC

Doing business as Mynd Horizon - Detroit

  • Psychiatry Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1255146965
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MYND THERA PLLC
Doing business as
Mynd Horizon - Detroit
Mynd Horizon - Grosse Pointe
Mynd Horizon - Southfield
Practice address
19815 Mack Ave Ste B
Grosse Pointe Woods, MI 48236-2505
Phone
(313) 516-7143
NPI assigned
Feb 10, 2025
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Nicholas Mischel, MDNPI 1679968994
Title
Owner
Phone
(313) 516-7143

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

19815 Mack Ave Ste B
Grosse Pointe Woods, MI 48236-2505

Mailing address

19815 Mack Ave Ste B
Grosse Pointe Woods, MI 48236-2505

Other practice location 1

16250 Northland Dr Ste 246
Southfield, MI 48075-5205
Phone (248) 327-6094

Other names 3

  • Mynd Horizon - Detroit Doing business as
  • Mynd Horizon - Grosse Pointe Doing business as
  • Mynd Horizon - Southfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423000617 MI Part B Supplier - Clinic/Group Practice 2062937964 Receives reassigned benefits from 9 practitioners
Practice locations: Grosse Pointe Woods, MI

National Provider Directory

National Provider Directory

Locations

19815 Mack Ave
Ste B
Grosse Pointe Woods, MI 48236
Phone (313) 516-7143

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1255146965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19815 MACK AVE STE B",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 MACK AVE STE B",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362505",
            "telephone_number": "313-516-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16250 Northland Dr Ste 246",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480755205",
            "country_code": "US",
            "telephone_number": "248-327-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYND THERA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "MISCHEL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-516-7143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mynd Horizon - Detroit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mynd Horizon - Grosse Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mynd Horizon - Southfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.