Organization Active NPI

Mind on Demand LLC

  • Community/Behavioral Health Agency
  • Maxton, NC
National Provider Identifier
1316864259
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND ON DEMAND LLC
Practice address
11388 US Highway 501
Maxton, NC 28364-7678
Phone
(910) 610-9127
NPI assigned
Jul 1, 2026
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Mr. Robert Shawn Phillips Jr.
Title
Owner
Phone
(910) 610-9127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11388 US Highway 501
Maxton, NC 28364-7678

Mailing address

11388 US Highway 501
Maxton, NC 28364-7678
Phone (910) 610-9127

National Provider Directory

National Provider Directory

Locations

11388 US Highway 501
Maxton, NC 28364
Phone (910) 610-9127

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1316864259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11388 US HIGHWAY 501",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283647678",
            "telephone_number": "910-610-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11388 US HIGHWAY 501",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283647678",
            "telephone_number": "910-610-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ON DEMAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-610-9127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.