Organization Active NPI

Mindfulness Gym LLC

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1487307534
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFULNESS GYM LLC
Practice address
36400 Woodward Ave Ste 202
Bloomfield Hills, MI 48304-0913
Phone
(248) 633-8606
NPI assigned
Jan 29, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Andrew MoldenhauerNPI 1881026284
Title
Ceo/Therapist
Phone
(248) 633-8606

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

36400 Woodward Ave Ste 202
Bloomfield Hills, MI 48304-0913

Mailing address

36400 Woodward Ave Ste 202
Bloomfield Hills, MI 48304-0913
Phone (248) 633-8606

Other practice location 1

36400 Woodward Ave Ste 202
Bloomfield Hills, MI 48304-0913
Phone (248) 633-8606

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, 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": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1487307534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040913",
            "telephone_number": "248-633-8606",
            "fax_number": "248-218-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040913",
            "telephone_number": "248-633-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36400 Woodward Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483040913",
            "country_code": "US",
            "telephone_number": "248-633-8606",
            "fax_number": "248-218-9367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFULNESS GYM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "MOLDENHAUER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "248-633-8606"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.