Organization Active NPI

Minds in Motion Integrated Behavioral Health

  • Community/Behavioral Health Agency
  • Newark, DE
National Provider Identifier
1346635349
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2015602352 Issued in DE
Legal business name
MINDS IN MOTION INTEGRATED BEHAVIORAL HEALTH
Practice address
4142 Ogletown Stanton Rd
Mailbox 210
Newark, DE 19713-4169
Phone
(302) 743-5486
NPI assigned
Apr 6, 2015
Last updated
Apr 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Teri B Lawler, MANPI 1083758973
Title
Chief Execiutive Officer
Phone
(302) 743-5486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2015602352 DE Primary

Addresses

Primary practice location

4142 Ogletown Stanton Rd
Mailbox 210
Newark, DE 19713-4169

Mailing address

4142 Ogletown Stanton Rd
Mailbox 210
Newark, DE 19713-4169
Phone (302) 743-5486

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1346635349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 OGLETOWN STANTON RD",
            "address_2": "MAILBOX 210",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134169",
            "telephone_number": "302-743-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 OGLETOWN STANTON RD",
            "address_2": "MAILBOX 210",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134169",
            "telephone_number": "302-743-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS IN MOTION INTEGRATED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECIUTIVE OFFICER",
        "authorized_official_telephone_number": "302-743-5486",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "2015602352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.