NPIMap

Organization Active NPI

Young Mind Center, Inc.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1346707486
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
YOUNG MIND CENTER, INC.
Practice address
3202 E Mountain View Rd
Phoenix, AZ 85028-3901
Phone
(602) 237-6653
Fax
(602) 957-3600
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Amanda L Wood, PSYD
Title
Licensed Clinical Psychologist
Phone
(602) 237-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3202 E Mountain View Rd
Phoenix, AZ 85028-3901

Mailing address

3202 E Mountain View Rd
Phoenix, AZ 85028-3901
Phone (602) 237-6653

National Provider Directory

National Provider Directory
Tax ID family
Young Mind Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3202 E Mountain View Rd
Phoenix, AZ 85028
Phone (602) 237-6653

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1346707486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 E MOUNTAIN VIEW RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283901",
            "telephone_number": "602-237-6653",
            "fax_number": "602-957-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 E MOUNTAIN VIEW RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283901",
            "telephone_number": "602-237-6653",
            "fax_number": "602-957-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MIND CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-237-6653",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.