Mastermind Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MASTERMIND MENTAL HEALTH LLC

Practice address

2109 Lantern Dr
Columbus, OH 43224-5015

Phone

(614) 632-1572

NPI assigned

Oct 19, 2024

Organization subpart

No

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

Authorized official

Name

Mohamed Abdullahi LLC, QMHS

Title

Owner

Phone

(614) 632-1572

Specialties & licenses 7

Addresses

Practitioners 1

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

• Mohamed Abdullahi Warsame

  • Counselor
  • Columbus, OH
  • NPI 1558015123
  NPD

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1497576730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 LANTERN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432245015",
            "telephone_number": "614-632-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 LANTERN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432245015",
            "telephone_number": "614-632-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERMIND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-632-1572",
        "authorized_official_credential": "QMHS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mario Massullo, MD
• Dorothea J Mast, LMT
• Julie Ann Mast, P.T.
• Maurice C Mast, MD
• Peyton Mast, FNP
• Kathleen M Masters, M.D.
• Zachary Austin Masters, M.D.
• Emily Brewer Masterson
• Lauren Mastic
• Brooke Marie Mastin, MD

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.