Mindoula Health Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDOULA HEALTH INC.

Practice address

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959

Phone

(888) 879-9786

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Gregory Couto

Title

SVP Operations

Phone

(888) 879-9786

Specialties & licenses 1

Addresses

Tax ID family

Mindoula Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mindoula Health Inc.

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1508421587
  NPD tax ID
• Mindoula Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
  • NPI 1154948180
  NPD tax ID

Locations

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1275289399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 GEORGIA AVE STE 170",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104959",
            "telephone_number": "888-879-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 GEORGIA AVE STE 170",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104959",
            "telephone_number": "888-879-9786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104852",
            "country_code": "US",
            "telephone_number": "888-879-9786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDOULA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "COUTO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "888-879-9786"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfully Rooted Collaborative Therapy, LLC
• Mindlife Counseling LLC
• Mindlincs
• Mindology LLC
• Mindoula Clinical Services LLC
• Mindoula Health Inc.
• Mindoula Health Inc.
• Harvey N Mininberg, MD
• Shannon Minter
• Brandon Mintz

• Community/Behavioral Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.