Mindshift & Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSHIFT & WELLNESS PLLC

Practice address

28777 Northwestern Hwy
Southfield, MI 48034

Phone

(313) 645-5188

NPI assigned

May 7, 2026

Organization subpart

No

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

Authorized official

Name

Katrina Ivory, PMHNP- BCNPI 1063362853

Title

Co- Owner

Phone

(313) 649-5188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Katrina Ivory, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
  • NPI 1063362853
  Medicare reassignment NPD (past) Authorized official
• Darlene Princess Washington, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
  • NPI 1194384453
  Medicare reassignment NPD

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1598692089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 323",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212393",
            "telephone_number": "313-645-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28777 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "313-645-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSHIFT & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "313-649-5188",
        "authorized_official_credential": "PMHNP- BC"
    },
    "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": []
}

• Mindful Concepts, LLC
• Mindful Serenity Solutions, LLC
• Mindharbor Therapy PC
• Mindkraft Solutions LLC
• Mindsetme Counseling and Support Services
• Dhara Minervini Valdivia
• Sierra Rose Mines, LLMSW
• Farooq Ahmed Minhas, MD
• Wesley Mink, CRNA
• Vanessa Minley Obadina

• Psychiatric/Mental Health Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.