Mind Well Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND WELL SERVICES LLC

Practice address

3 Embassy Cir
East Norriton, PA 19403-4011

Phone

(610) 570-2854

NPI assigned

Apr 7, 2020

Last updated

Apr 7, 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

Ms. Ingrid Parker, LPC, LBSNPI 1407492945

Title

Clinical Director/Owner

Phone

(610) 570-2854

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.

• Ingrid Parker, M.A., LPC, LBS

  • Professional Counselor
  • East Norriton, PA
  • NPI 1407492945
  NPD Authorized official

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1376172783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMBASSY CIR",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034011",
            "telephone_number": "610-570-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EMBASSY CIR",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034011",
            "telephone_number": "610-570-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "610-570-2854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LBS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lee Mermelstein, MD
• Adam Brent Meyer, CRNP
• Michela Mickler, M.D.
• David Victor Mihalic, PHARMD
• Steven Ira Miller, DDS
• Danesh S Modi, D.O.
• Prachi Mahendra Modi, M.D.
• Gisha Mohan, MD
• Mona Albandar Dental Associates Inc.
• Montgomery County Gi Specialists

• Mental Health Clinic/Center (Including Community Mental Health Center) in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.