Miralife Teletherapist

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIRALIFE TELETHERAPIST

Practice address

10105 E Via Linda Ste 103
Scottsdale, AZ 85258-5346

Phone

(910) 805-2740

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Janny N Jinor, LCSW, PHDNPI 1689997991

Title

Owner

Phone

(910) 805-2740

Specialties & licenses 1

Addresses

Tax ID family

Miralife Tele-Therapist2 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.

• Miralife Tele-Therapist

  • Clinical Social Worker
  • Washington, DC
  • NPI 1457126534
  NPD tax ID

Practitioners 1

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

• Janny N Jinor, LICSW, PHD

  • Psychologist
  • Cary, NC
  • NPI 1689997991

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1396522462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585346",
            "telephone_number": "910-805-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585346",
            "telephone_number": "910-805-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRALIFE TELETHERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "JINOR",
        "authorized_official_first_name": "JANNY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-805-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Minner, LCSW
• Minnesota Urgent Care Provider Network, LLC
• Minted Dental Shea PLLC
• Zamari Minter
• Mirage Podiatry Foot and Ankle Specialists
• Brittany A Miranda, FNP
• Monica Marie Miranda
• Vanessa Miranda, LMSW
• Michelle Mirci
• Miriam M. Gottlieb, PH.D., P.C.

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.