Mindspace NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSPACE NP

Practice address

16530 Ventura Blvd Ste 400
Encino, CA 91436-4551

Phone

(747) 227-7593

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Tang Shaoqing, PMHNP

Title

Owner

Phone

(747) 227-7593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1316728579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364554",
            "telephone_number": "747-227-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364551",
            "telephone_number": "747-227-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPACE NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SHAOQING",
        "authorized_official_first_name": "TANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-227-7593",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Brooke Miller, MSW
• Ofek Miller, DPT
• Paul Millman, D.D.S.
• Ruslan Mimer, DPT
• Maryamm Mina
• Minehart Medical Corporation
• Robert Louis Ming, M.D.
• Danielle Kristine Minner
• Maxine Mintzer
• Miracle Board and Care&Asssisted Living

• Psychiatric/Mental Health Nurse Practitioner in Encino, CA
• Providers in Encino, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.