NPIMap

Organization Active NPI

Mindset Therapy and Wellness Inc.

  • Clinical Psychologist
  • Upper Marlboro, MD
National Provider Identifier
1417595240
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDSET THERAPY AND WELLNESS INC.
Practice address
9500 Medical Center Dr Ste 230a
Upper Marlboro, MD 20774-3707
Phone
(301) 458-8123
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Dr. Jamila Winn, PSYD
Title
Owner
Phone
(301) 458-8123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9500 Medical Center Dr Ste 230a
Upper Marlboro, MD 20774-3707

Mailing address

9500 Medical Center Dr Ste 230a
Upper Marlboro, MD 20774-3707
Phone (301) 458-8123

National Provider Directory

National Provider Directory

Locations

9500 Medical Center Dr
Ste 230A
Upper Marlboro, MD 20774
Phone (301) 458-8123

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1417595240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 230A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743707",
            "telephone_number": "301-458-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 230A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743707",
            "telephone_number": "301-458-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET THERAPY AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-458-8123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.