NPIMap

Organization Active NPI

Healthy Minds for Healthy Lives-Pediatric Mental Health and Wellness

  • Primary Care Clinic/Center
  • Wichita Falls, TX
National Provider Identifier
1407505035
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALTHY MINDS FOR HEALTHY LIVES-PEDIATRIC MENTAL HEALTH AND WELLNESS
Practice address
2207 Brook Ave Ste a
Wichita Falls, TX 76301-6139
Phone
(940) 217-6720
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Merrill Lee Wood, APRN, CPNP-PCNPI 1366747917
Title
Owner
Phone
(940) 217-6720

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2207 Brook Ave Ste a
Wichita Falls, TX 76301-6139

Mailing address

2207 Brook Ave Ste a
Wichita Falls, TX 76301-6139
Phone (940) 217-6720

Other identifiers 1

IdentifierTypeStateIssuer
1633747917MedicaidTX

Other names 1

  • Healthy Minds for Healthy Lives Doing business as

National Provider Directory

National Provider Directory

Locations

2207 Brook Ave
Ste A
Wichita Falls, TX 76301
Phone (817) 773-8029

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24914/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1407505035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 BROOK AVE STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016139",
            "telephone_number": "940-217-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 BROOK AVE STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016139",
            "telephone_number": "940-217-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS FOR HEALTHY LIVES-PEDIATRIC MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-217-6720",
        "authorized_official_credential": "APRN, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1633747917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Minds for Healthy Lives",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Minds for Healthy Lives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.