Mindwell Psychiatric Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDWELL PSYCHIATRIC CARE LLC

Practice address

95 YMCA Dr Ste 1
Madisonville, KY 42431-9035

Phone

(270) 245-8403

NPI assigned

Aug 20, 2025

Organization subpart

No

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

Authorized official

Name

Michelle Davis, PMHNPNPI 1023847274

Title

Owner

Phone

(270) 359-5254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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.

• Michelle Delane Davis

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
  • NPI 1023847274
  Medicare reassignment NPD Authorized official
• Jennifer J Collins, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, KY
  • NPI 1205239860
  Medicare reassignment

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1538046370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 YMCA DR STE 1",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319035",
            "telephone_number": "270-359-5254",
            "fax_number": "502-546-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 YMCA DR STE 1",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319035",
            "telephone_number": "270-245-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-359-5254",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R. Millay III, DMD
• Jamie T. Miller, APRN
• Stacey Michelle Miller, M.D
• Suzanna Ashby Mills, D.M.D
• Shanna Milutin, RN
• Douglas Ray Mings, LPP
• Sanaa Mirza, MD
• Eric W. Mitchell, APRN
• Tejas J Modi, M.D.
• Catherine S Montz, MD

• Psychiatric/Mental Health Nurse Practitioner in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.