Organization Active NPI

Minds Over Matter, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1346769668
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101-0082934 Issued in VT
Legal business name
MINDS OVER MATTER, PC
Practice address
73 Center St Ste 2
Rutland, VT 05701-4046
Phone
(802) 772-7136
Fax
(866) 271-4702
NPI assigned
Sep 18, 2017
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Brandi Amber RandNPI 1144548116
Title
Owner, Provider
Phone
(802) 772-7136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101-0082934 VT Primary

Addresses

Primary practice location

73 Center St Ste 2
Rutland, VT 05701-4046

Mailing address

73 Center St Ste 2
Rutland, VT 05701-4046
Phone (802) 772-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107002150 VT Part B Supplier - Clinic/Group Practice 2860758836 Receives reassigned benefits from 1 practitioner
Practice locations: Rutland, VT

National Provider Directory

National Provider Directory

Locations

73 Center St
Ste 2
Rutland, VT 05701
Phone (802) 277-2020

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": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1346769668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CENTER ST STE 2",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014046",
            "telephone_number": "802-772-7136",
            "fax_number": "866-271-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CENTER ST STE 2",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014046",
            "telephone_number": "802-772-7136",
            "fax_number": "866-271-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS OVER MATTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "802-772-7136"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101-0082934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.