Mind Wellness Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MIND WELLNESS CLINIC

Doing business as

The Mind Wellness Clinic

Practice address

7819 Jaars Rd
Waxhaw, NC 28173

Phone

(704) 350-5885

Fax

(936) 244-4599

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By 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

James Sheehan

Title

Owner/Partner

Phone

(704) 350-5885

Specialties & licenses 1

Addresses

Other names 1

• The Mind Wellness Clinic Doing business as

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.

• Kelly G Svedberg, PA-C

  • Physician Assistant
  • Rock Hill, SC
  • NPI 1790838621

  Single Specialty

  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1457021545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 JAARS RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737677",
            "telephone_number": "704-350-5885",
            "fax_number": "936-244-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 JAARS RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-350-5885",
            "fax_number": "936-244-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "704-350-5885"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mind Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Mild, LCSW
• Milestone Therapy Inc
• Alysse Marie Miller, MSOT
• Mary James Pace Miller, PHARMD
• Mind & Motion LLC
• Alexis Mitchell, PHD
• Leena Jemba Mitchell, FNP-C
• Lorrene Mithers, LPC
• Mona Mobasseri
• Cornelia Moldovan, CORNELIA MOLDOVAN

• Physician Assistant in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.