Novel Mind and Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NOVEL MIND AND WELLNESS CENTER

Practice address

1804 Miccosukee Commons Dr Ste 210
Tallahassee, FL 32308-5471

Phone

(850) 597-9732

Fax

(850) 999-7591

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kelle Melvin Logan, CRNANPI 1750702056

Title

Owner and Operator

Phone

(850) 597-9732

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelle Melvin Logan, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
  • NPI 1750702056
  NPD Authorized official

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1609643071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 MICCOSUKEE COMMONS DR STE 210",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085471",
            "telephone_number": "850-597-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 MICCOSUKEE COMMONS DR STE 210",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085471",
            "telephone_number": "850-597-9732",
            "fax_number": "850-999-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL MIND AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "850-597-9732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malasha Norton
• Mary P Norton, MD
• Charly Nottke
• Alfredo Nova, M.D.
• Allyson Louise Novak
• Ryan William Novince, MD, MS
• Susan Nowlin, M.S.
• Bartlomiej Tomasz Nowosielecki
• Antonella Nunez
• Catherine E. Nunez, PHD

• Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.