Enlightened Mind Therapeutics LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ENLIGHTENED MIND THERAPEUTICS LLC

Practice address

3805 Mesa Verde Dr
Rockwall, TX 75032-7112

Phone

(917) 634-5311

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Eneida Miranda, DONPI 1598293284

Title

Psychiatrist/Owner

Phone

(917) 634-5311

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.

• Eneida Fortes Miranda, DO

  • Psychiatry Physician
  • McKinney, TX
  • NPI 1598293284
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1508688227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MESA VERDE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MESA VERDE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327112",
            "telephone_number": "917-634-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED MIND THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ENEIDA",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "917-634-5311",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anika Elizabeth Emmoms
• Empowered Perspective Counseling Services, PLLC
• Endodontic Specialists of Rockwall Bamf Dental PLLC Sole MBR (Endodontic Specialist of Rockwall)
• Holly Rae Endsley, RBT
• Elizabeth Danielle Ener, PHD, LPC-S, RPT-S
• Ensearch Home Health
• Envion Health PLLC
• ER Xrays (ER Mobile Xrays)
• Rachel Marie Erickson, RBT
• Sally Escuin, FNP-C

• Psychiatry Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Psychiatry Physician in Texas

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