Organization Active NPI

Mind Mend Psychiatric Services, PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Pulaski, TN
National Provider Identifier
1447002001
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
MIND MEND PSYCHIATRIC SERVICES, PLLC
Practice address
300 Sleepy Hollow Rd
Pulaski, TN 38478-6649
Phone
(931) 292-2993
Fax
(931) 623-6190
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Katherine King, APRN, PMHNP-BCNPI 1467164392
Title
Provider
Phone
(931) 309-4366

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 Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

300 Sleepy Hollow Rd
Pulaski, TN 38478-6649

Mailing address

300 Sleepy Hollow Rd
Pulaski, TN 38478-6649
Phone (931) 292-2993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1447002001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SLEEPY HOLLOW RD",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384786649",
            "telephone_number": "931-292-2993",
            "fax_number": "931-623-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SLEEPY HOLLOW RD",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384786649",
            "telephone_number": "931-292-2993",
            "fax_number": "931-623-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MEND PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "931-309-4366",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.