Rekindle Mind

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REKINDLE MIND

Practice address

9330 LBJ Fwy Ste 900
Dallas, TX 75243-3443

Phone

(325) 440-9366

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Njideka Domrufus, NP

Title

Director

Phone

(817) 524-7107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1508562273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433443",
            "telephone_number": "325-440-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433443",
            "telephone_number": "325-440-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKINDLE MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "DOMRUFUS",
        "authorized_official_first_name": "NJIDEKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-524-7107",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.