Organization Active NPI

Peace of Mind Therapeutics LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1598371296
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACE OF MIND THERAPEUTICS LLC
Practice address
120 W 2ND St Ste 1212
Dayton, OH 45402-1685
Phone
(937) 960-9304
Fax
(937) 200-0184
NPI assigned
Sep 17, 2020
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Katina Thomas, APRN-CNP
Title
Owner
Phone
(937) 718-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

120 W 2ND St Ste 1212
Dayton, OH 45402-1685

Mailing address

5170 Pebble Brook Dr
Englewood, OH 45322-3632
Phone (937) 718-1478

National Provider Directory

National Provider Directory

Locations

120 W 2nd St
Ste 1212
Dayton, OH 45402
Phone (937) 960-9304

120 W 2nd St
Ste 615
Dayton, OH 45402

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1598371296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 PEBBLE BROOK DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453223632",
            "telephone_number": "937-718-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 1212",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021685",
            "telephone_number": "937-960-9304",
            "fax_number": "937-200-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-718-1478",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.