Mind Restoration, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIND RESTORATION, LLC

Practice address

3545 Broad St Unit 660156
Atlanta, GA 30366-2123

Phone

(404) 275-4604

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Adam McTigheNPI 1578964979

Title

Owner/Partner

Phone

(412) 951-2483

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Adam McTighe, PSY.D., MBA

  • Psychologist
  • Atlanta, GA
  • NPI 1578964979
  NPD Authorized official

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1619753274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 BROAD ST UNIT 660156",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303662123",
            "telephone_number": "404-275-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 BROAD ST UNIT 660156",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303662123",
            "telephone_number": "404-275-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MCTIGHE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "412-951-2483",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Minasian
• Jeffrey Hampar Minassian, MD
• Mind Body and Soul Homecare Services
• Mind Body Spirit Wellness Inc
• Mind Body Works LLC
• Mind, Body, Peace LLC
• Mind'S Eye Enterprises, LLC
• Mindbrain Institute of Atlanta
• Mindful Discovery Therapeutic Solutions
• Mindful Healing Health and Wellness

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

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