Mindhaven Psychiatry, LLC

Primary specialty

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

Legal business name

MINDHAVEN PSYCHIATRY, LLC

Practice address

1166 E Warner Rd Ste 206
Gilbert, AZ 85296-3066

Phone

(480) 269-4469

NPI assigned

Nov 13, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Sophia Jolly, PMHNP-BCNPI 1427533116

Title

Psychiatric Nurse Practitioner

Phone

(480) 269-4469

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sophia Jolly

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1427533116
  NPD Authorized official

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1487514485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "480-269-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD STE 206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963066",
            "telephone_number": "480-269-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDHAVEN PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-269-4469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Body Connection Health and Wellness LLC
• Mindful Bloom Counseling Services LLC
• Mindful Core Counseling, PLLC
• Mindful Home Health PLLC
• Mindgardenrx, LLC
• Lorelei Minear-Jarman
• Savannah Lynn Minehart, FNP-BC
• Brenda Deanne Minge, RMT
• Minutemd LLC
• Nancy M Mione, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.