Organization Active NPI

Mending Minds Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Falls, IA
National Provider Identifier
1316674435
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENDING MINDS MENTAL HEALTH LLC
Doing business as
Mending Minds Mental Health
Practice address
305 N Ellen St
Cedar Falls, IA 50613-2129
Phone
(319) 230-4069
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Maggie Mae Austin, PMHNP
Title
Owner/Provider
Phone
(319) 230-4069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

305 N Ellen St
Cedar Falls, IA 50613-2129

Mailing address

305 N Ellen St
Cedar Falls, IA 50613-2129
Phone (319) 230-4069

Other names 1

  • Mending Minds Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

1727 University Ave
Ste 104
Waterloo, IA 50701
Phone (319) 505-8220

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1316674435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N ELLEN ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132129",
            "telephone_number": "319-230-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N ELLEN ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132129",
            "telephone_number": "319-230-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "319-230-4069",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Minds Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.