Organization Active NPI

Mindful Therapeutics Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, MN
National Provider Identifier
1306595004
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFUL THERAPEUTICS CARE LLC
Practice address
8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843
Phone
(612) 500-1368
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Samira Abdlle
Title
Coo
Phone
(612) 500-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843

Mailing address

8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843
Phone (612) 500-1368

National Provider Directory

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": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1306595004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD STE 920",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373843",
            "telephone_number": "612-500-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD STE 920",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373843",
            "telephone_number": "612-500-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPEUTICS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "ABDLLE",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-500-1368"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.