Mind Matters Therapeutics

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND MATTERS THERAPEUTICS

Practice address

1500 District Ave
Ste 1907
Burlington, MA 01803

Phone

(860) 833-3173

NPI assigned

Nov 8, 2023

Last updated

Nov 15, 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

Despina O'Doherty, APRN, PMHNP-BC, AGNPNPI 1013416114

Title

President and Ceo

Phone

(860) 833-3173

Specialties & licenses 1

Addresses

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.

• Despina O'Doherty, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandwich, MA
  • NPI 1013416114
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1326812611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TRIANGLE CIR",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632497",
            "telephone_number": "860-833-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DISTRICT AVE",
            "address_2": "STE 1907",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "860-833-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "O'DOHERTY",
        "authorized_official_first_name": "DESPINA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "860-833-3173",
        "authorized_official_credential": "APRN, PMHNP-BC, AGNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Miller, M.D.
• Emilie Doan-Thanh Miller, D.M.D
• Kathleen Williams Miller, MD
• Emily Mills
• Jessica M Mills, DPT
• Mingxia Acupuncture & Herbs
• Aarathi Minisandram
• Michael E Minor, MD
• Jessica Carly Sophia Mintz, D.O.
• Minuteman Senior Services, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Burlington, MA
• Providers in Burlington, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.