Organization Active NPI

Mind Forward Health Center, PLLC

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1427780253
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND FORWARD HEALTH CENTER, PLLC
Practice address
2150 Trawood Dr Ste B161
El Paso, TX 79935-3322
Phone
(915) 832-1702
Fax
(915) 666-4409
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Viridiana Ortiz, LCSWNPI 1225591472
Title
Owner
Phone
(915) 832-1702

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2150 Trawood Dr Ste B161
El Paso, TX 79935-3322

Mailing address

2150 Trawood Dr Ste B161
El Paso, TX 79935-3322
Phone (915) 832-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221213000908 TX Part B Supplier - Clinic/Group Practice 8527437631 Receives reassigned benefits from 6 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

2150 Trawood Dr
Ste B161
El Paso, TX 79935
Phone (915) 832-1702

2150 Trawood Dr
#B161
El Paso, TX 79935
Phone (915) 779-9934

Practitioners & affiliated clinicians

Practitioners 7

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1427780253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE B161",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353322",
            "telephone_number": "915-832-1702",
            "fax_number": "915-666-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE B161",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353322",
            "telephone_number": "915-832-1702",
            "fax_number": "915-666-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND FORWARD HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "VIRIDIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-832-1702",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.