Clear Mind Psychiatry and Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLEAR MIND PSYCHIATRY AND WELLNESS CENTER

Practice address

540 W Iron Ave Ste 201
Mesa, AZ 85210-6027

Phone

(623) 806-6864

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Vincent Olorunsola, PMHNP-BCNPI 1205211802

Title

Psychiatric Mental Health NP

Phone

(623) 806-6864

Specialties & licenses 1

Addresses

Other names 1

• Clear Mind Psychiatry and Wellness Center Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Vincent Olorunsola, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1205211802
  NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1326752809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 E SONRISA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127079",
            "telephone_number": "602-512-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106027",
            "telephone_number": "623-806-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND PSYCHIATRY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "OLORUNSOLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "623-806-6864",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": [
        {
            "organization_name": "Clear Mind Psychiatry and Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.