Mynd MGMT LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MYND MGMT LLC

Practice address

5 Executive Dr Ste C2
Lafayette, IN 47905-4867

Phone

(765) 684-4979

Fax

(765) 274-0243

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Spence, PMHNP-BCNPI 1699414599

Title

Owner

Phone

(765) 684-4979

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole Spence, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Otterbein, IN
  • NPI 1699414599
  NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1396553517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 E 675 N",
            "city": "OTTERBEIN",
            "state": "IN",
            "postal_code": "479708023",
            "telephone_number": "765-684-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE DR STE C2",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054867",
            "telephone_number": "765-684-4979",
            "fax_number": "765-274-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYND MGMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-684-4979",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Ilene Myers, PMHNP-BC
• Jennifer E Myers, NP
• Lacey Christine Myers, NP
• Myeyedr Optometry of Indiana, LLC
• Holly Nicole Myles, N.P.
• Suma Nagaraj, M.D.
• Trisha Lynn Nagel, NP
• Ghaith Nahlawi, MD
• Jannatul Naima
• Nami West Central Indiana Inc.

• Psychiatric/Mental Health Nurse Practitioner in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.