Mind Wellness Center Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIND WELLNESS CENTER INC.

Practice address

1701 Westwind Dr Ste 215
Bakersfield, CA 93301-3047

Phone

(951) 334-7172

Fax

(909) 755-5188

NPI assigned

Jan 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Callistus Emeka Amajoyi, PHDNPI 1164858825

Title

Ceo

Phone

(951) 334-7172

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Robert Fischer, PH.D.

  • Psychologist
  • Corcoran, CA
  • NPI 1427398486
  Medicare reassignment NPD
• Callistus Emeka Amajoyi, CLINICAL PSYCHOLOGIS

  • Psychologist
  • Glendora, CA
  • NPI 1164858825
  NPD Authorized official

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1528657160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 JUNEAU CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392653",
            "telephone_number": "951-334-7172",
            "fax_number": "909-755-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WESTWIND DR STE 215",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013047",
            "telephone_number": "951-334-7172",
            "fax_number": "909-755-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "AMAJOYI",
        "authorized_official_first_name": "CALLISTUS",
        "authorized_official_middle_name": "EMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-334-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bakersfield",
            "affiliation": "N",
            "endpointDescription": "1701 west wind Dr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bakersfield",
            "address_1": "1701 Westwind Dr Ste 215",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bakersfield",
            "affiliation": "N",
            "endpointDescription": "1701 west wind Dr  bakersfield",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bakersfield",
            "address_1": "1701 Westwind Dr Ste 215",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bakerfield",
            "affiliation": "N",
            "endpointDescription": "1701 westwind dr Bakersfield",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office@mindwellnesscenter.com",
            "address_1": "1701 Westwind Dr Ste 215",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shara Marie Mills
• Dawn Lynnelle Milton, RN, C
• Jum K Min, M.D.
• Mina Mina
• Mind & Behavioral Health Corp
• Mindcare Psychological Services Inc.
• Mindful, Inc.
• Ming & H Drugs Inc
• Bimalpreet Kaur Minhas, FNP
• Alisha Annette Minnick, RN

• Psychologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.