Mindworks Connection Professional Nursing Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDWORKS CONNECTION PROFESSIONAL NURSING CORPORATION

Practice address

Mindworks Connection
1968 S Coast Hwy # 4560
Laguna Beach, CA 92651-3681

Phone

(425) 615-4312

NPI assigned

Mar 9, 2022

Last updated

Apr 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kumbirai Madiye, PMHNP-BCNPI 1427563535

Title

President

Phone

(808) 221-1039

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kumbirai Madiye, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laguna Beach, CA
  • NPI 1427563535
  Authorized official Same address or phone

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1417604422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 4560",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "425-615-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MINDWORKS CONNECTION",
            "address_2": "1968 S COAST HWY # 4560",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "425-615-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWORKS CONNECTION PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MADIYE",
        "authorized_official_first_name": "KUMBIRAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-221-1039",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Miller, MSN, RN
• Matthew John Miller, DDS
• Daniel C Mills, M.D.
• Bracha Tova Milstein
• Mind Space Mental Health Inc
• Miramar Health, Inc.
• Amelia Miscione
• Mission Hospital Regional Medical Center (Providence Mission Hospital)
• Mission Viejo Emergency Medical Associates, Inc.
• Eric Miyamoto, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.