Organization Active NPI

Mind/Body Health & Psychology LLC

  • Community/Behavioral Health Agency
  • St Thomas, VI
National Provider Identifier
1598037400
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10-029 PSY Issued in VI
Legal business name
MIND/BODY HEALTH & PSYCHOLOGY LLC
Practice address
6115 Estate Smith Bay
Suite 334 & 335
St Thomas, VI 00802-1324
Phone
(340) 626-8106
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Sheena Myong Walker, PH.D.NPI 1811200447
Title
Owner
Phone
(340) 626-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10-029 PSY VI Primary

Addresses

Primary practice location

6115 Estate Smith Bay
Suite 334 & 335
St Thomas, VI 00802-1324

Mailing address

PO Box 12137
St Thomas, VI 00801-5137
Phone (340) 626-8106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201002526 VI Part B Supplier - Clinic/Group Practice 9638562358 Receives reassigned benefits from 2 practitioners
Practice locations: St Thomas, VI

National Provider Directory

National Provider Directory

Locations

5316 Yacht Haven Grande
Ste S104
St Thomas, VI 00802
Phone (340) 513-0418

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1598037400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12137",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008015137",
            "telephone_number": "340-626-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 ESTATE SMITH BAY",
            "address_2": "SUITE 334 & 335",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021324",
            "telephone_number": "340-626-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND/BODY HEALTH & PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "MYONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "340-626-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VI",
            "license": "10-029 PSY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.