Mindspire Mental Health & Wellness Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSPIRE MENTAL HEALTH & WELLNESS NURSING CORPORATION

Practice address

1775 E Palm Canyon Drive
110-5020
Palm Springs, CA 92264-1613

Phone

(424) 888-0608

NPI assigned

Jun 19, 2025

Organization subpart

No

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

Authorized official

Name

Jose Banuelos, PMHNP-BCNPI 1972165660

Title

NP

Phone

(424) 888-0608

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Banuelos, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Cathedral City, CA
  • NPI 1972165660
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1316834724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E PALM CANYON DR STE 110-50",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E PALM CANYON DRIVE",
            "address_2": "110-5020",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641613",
            "telephone_number": "424-888-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPIRE MENTAL HEALTH & WELLNESS NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "424-888-0608",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Arthur Miller, LVN
• Mary K. Miller, M.D.
• Milton Howard Conley MD Inc
• Alicia Mims, RASI
• Chris Min, MD
• Carrie R Minnelli, MD
• Amir Mir Abdolazimi, MD MBA
• Mirage Home Health LLC
• Olivia Adelena Miranda
• Anne T Mishica, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, 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 Feb 5, 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.