Mindful Health Advantage, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDFUL HEALTH ADVANTAGE, LLC

Practice address

777 S Wadsworth Blvd
BLDG 2, Ste 103
Lakewood, CO 80226-4300

Phone

(303) 202-6143

Fax

(303) 202-6146

NPI assigned

Apr 22, 2011

Last updated

Apr 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracy John Price, PSY.D.NPI 1124164827

Title

Member/Psychologist

Phone

(303) 202-6143

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tracy John Price, PSY.D.

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1124164827
  Authorized official Same address or phone

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1619268729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WADSWORTH BLVD",
            "address_2": "BLDG 2, STE 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264300",
            "telephone_number": "303-202-6143",
            "fax_number": "303-202-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WADSWORTH BLVD",
            "address_2": "BLDG 2, STE 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264300",
            "telephone_number": "303-202-6143",
            "fax_number": "303-202-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALTH ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-202-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Body Soul Revival LLC
• Mind Time Wellness
• Mind, Body, Soulmates
• Mindcare Solutions PC
• Katharine Mindenhall, LCSW
• Mindful Therapy Group of Colorado, PC
• Mindmorph LLC
• Rae Marie Minear, LMT, CNHP, CHS, ND
• Kara Mineo
• Leslie Minna

• Clinical Psychologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.