NPIMap

Organization Active NPI

Mindful Operations LLC

  • Clinical Psychologist
  • Monroe, MI
National Provider Identifier
1437824315
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDFUL OPERATIONS LLC
Practice address
23 W 1St St
Monroe, MI 48161-2332
Phone
(734) 639-2262
Fax
(734) 621-5075
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Christine FeickNPI 1497890164
Title
Co-Owner
Phone
(734) 639-2262

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

23 W 1St St
Monroe, MI 48161-2332

Mailing address

23 W 1St St
Monroe, MI 48161-2332
Phone (734) 639-2262

Other names 1

  • Humanistic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301002608 MI Part B Supplier - Clinic/Group Practice 5799179123 Receives reassigned benefits from 5 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

750 S Monroe St
Monroe, MI 48161
Phone (734) 639-2262

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1437824315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612332",
            "telephone_number": "734-639-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612332",
            "telephone_number": "734-639-2262",
            "fax_number": "734-621-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "FEICK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-639-2262"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humanistic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.