State of Mind NP PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STATE OF MIND NP PLLC

Doing business as

State of Mind

Practice address

11202 Cottonwood Canyon Rd
Yakima, WA 98908-9372

Phone

(509) 969-3908

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. James Eakin, ARNP, PMHNP-BCNPI 1023688769

Title

Owner

Phone

(509) 969-3908

Specialties & licenses 1

Addresses

Other names 1

• State of Mind Doing business as

Practitioners 1

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

• James Kendall Eakin, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yakima, WA
  • NPI 1023688769
  NPD (past) Authorized official

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1407428063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11202 COTTONWOOD CANYON RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089372",
            "telephone_number": "509-969-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11202 COTTONWOOD CANYON RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089372",
            "telephone_number": "509-969-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MIND NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "EAKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-969-3908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP, 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": [
        {
            "organization_name": "State of Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaylene O Stark, LMHCA
• Rebecca L Starnes, SC
• Jan M Stasiuk, MD
• Stat Medical Inc
• State of Mind
• Brooke Elizabeth Steadman, DO
• Cheyenne Stefano
• Jonathan Gabe Steinhauser
• Danielle Stensrud
• David C Stepanek, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.