Mindful Behavioral Health LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MINDFUL BEHAVIORAL HEALTH LLC

Practice address

134 S Highland Ave Ste 7
Pittsburgh, PA 15206-3968

Phone

(412) 979-0262

NPI assigned

Mar 13, 2020

Last updated

Mar 13, 2020By 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

Virginia Carolyn Martin, PSY.D.NPI 1568451227

Title

Psychologist

Phone

(412) 979-0262

Specialties & licenses 1

Addresses

Locations

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.

• Virginia Carolyn Martin, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Venice, FL
  • NPI 1568451227
  Authorized official Same address or phone

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1336775022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 GRAHAM BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352728",
            "telephone_number": "412-979-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S HIGHLAND AVE STE 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063968",
            "telephone_number": "412-979-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-979-0262",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Paul Minarik, PTA
• Julie D Minch, CRNP
• Olivia Nicole Mincone, RN
• Mind Body & Soulutions (Mind Body & Soulutions LLC)
• Mind Body Center, PLLC
• Mindful Eater LLC
• Mindful Flow Counseling and Yoga
• Mindful Matters Counseling Group LLC
• Mindful Motivation Counseling Services, LLC
• Mindful Pathways Psychotherapy, LLC

• Adolescent and Children Mental Health Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Adolescent and Children Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.