Mind Over Matter Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND OVER MATTER BEHAVIORAL HEALTH LLC

Practice address

131 E Covington Ave
Opp, AL 36467-2122

Phone

(334) 804-6937

Fax

(716) 265-3348

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 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

David Russell Adams, CRNPNPI 1275158578

Title

Owner/Ceo

Phone

(334) 804-6937

Specialties & licenses 3

Addresses

Locations

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.

• David Russell Adams, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Opp, AL
  • NPI 1275158578
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1487321089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E COVINGTON AVE",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672122",
            "telephone_number": "334-804-6937",
            "fax_number": "716-265-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E COVINGTON AVE",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672122",
            "telephone_number": "334-804-6937",
            "fax_number": "716-265-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "334-804-6937",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Aaron Maschek, DPM
• April McDaniel
• Rebecca Elaine McMillian, MED CCC SLP
• Kristi J Meeks, LPC
• Mid-South Home Care Services, Inc. (Mid-South Respiratory Services & HME)
• Mind Over Matter LLC
• Mizell Memorial Hospital (Mizell Memorial Hospital Swing Bed Unit)
• Mizell Memorial Hospital Homecare, LLC (LHC HomeCare of South Alabama)
• Mizell Memorial Hospital, Inc (Mizell Stat Care)
• Mizell Memorial Hospital, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Opp, AL
• Providers in Opp, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.