Active NPI
Mint Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1619786126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINT PSYCHIATRY LLC
- Practice address
- 200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571 - Phone
- (423) 451-8322
- Fax
- (423) 205-5087
- NPI assigned
- Dec 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique L Scott, CRNP
- Title
- Owner
- Phone
- (423) 497-8692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571
Mailing address
9511 Mountain Shadows Dr
Chattanooga, TN 37421-5352
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1619786126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9511 MOUNTAIN SHADOWS DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374215352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MARTIN LUTHER KING BLVD STE 1000",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022571",
"telephone_number": "423-451-8322",
"fax_number": "423-205-5087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINT PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-31",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-497-8692",
"authorized_official_credential": "CRNP"
},
"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": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.