Mending Minds Psychiatric Service PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MENDING MINDS PSYCHIATRIC SERVICE PLLC

Practice address

3400 Shattuck Rd Ste 2
Saginaw, MI 48603-3157

Phone

(989) 928-6616

NPI assigned

Nov 26, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Dietzel, NP

Title

Owner/Ceo

Phone

(989) 928-6616

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1467119339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SHATTUCK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033157",
            "telephone_number": "989-270-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SHATTUCK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033157",
            "telephone_number": "989-928-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS PSYCHIATRIC SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "DIETZEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "989-928-6616",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Calvin Memmott, DO
• Faizan Memon, MD
• Muhammad Memon
• Kurt A Menapace, M.D.
• Aliyah Majesty Mendez
• Daniel J Mendyk, RPH
• Tena G Mendyk, RPH
• Nathalie P Menendes, PSYD
• Vasant K Menon
• Melissa L Menzies, M.A., AUD.CCC-A

• Adult Mental Health Clinic/Center in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.