Organization Active NPI

Mind Behavior Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Turlock, CA
National Provider Identifier
1437895679
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND BEHAVIOR PROFESSIONAL NURSING CORPORATION
Practice address
384 E Olive Ave Ste 2
Turlock, CA 95380-4051
Phone
(209) 484-0702
Fax
(209) 330-0904
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Navneet Kaur, MSNNPI 1992287437
Title
Director
Phone
(209) 484-0702

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

384 E Olive Ave Ste 2
Turlock, CA 95380-4051

Mailing address

PO Box 3777
Turlock, CA 95381-3777
Phone (209) 484-0702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220614002744 CA Part B Supplier - Clinic/Group Practice 2860871340 Receives reassigned benefits from 2 practitioners
Practice locations: Turlock, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1437895679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953813777",
            "telephone_number": "209-484-0702",
            "fax_number": "209-330-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E OLIVE AVE STE 2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804051",
            "telephone_number": "209-484-0702",
            "fax_number": "209-330-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BEHAVIOR PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "NAVNEET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-484-0702",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.