NPIMap

Organization Active NPI

Mind-Touch Psychiatry & Integrative Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1457100174
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND-TOUCH PSYCHIATRY & INTEGRATIVE CARE, LLC
Practice address
2125 E Warner Rd Ste 103
Tempe, AZ 85284-3490
Phone
(682) 253-2130
Fax
(888) 830-0569
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Oluwatoyin AlukoNPI 1659952984
Title
Owner
Phone
(682) 253-2130

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2125 E Warner Rd Ste 103
Tempe, AZ 85284-3490

Mailing address

703 Netherfield Pkwy
Mansfield, TX 76063-2236
Phone (682) 253-2130

Other names 1

  • Mind-Touch Psychiatry & Integrative Care, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712001343 AZ Part B Supplier - Clinic/Group Practice 3274999552 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mind-Touch Psychiatry Integrative Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2125 E Warner Rd
Ste 103
Tempe, AZ 85284
Phone (682) 253-2130

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1457100174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NETHERFIELD PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632236",
            "telephone_number": "682-253-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E WARNER RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843490",
            "telephone_number": "682-253-2130",
            "fax_number": "888-830-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-TOUCH PSYCHIATRY & INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ALUKO",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-253-2130"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind-Touch Psychiatry & Integrative Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.