Mindful Therapy Practice

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

64017 Issued in CA

Legal business name

MINDFUL THERAPY PRACTICE

Practice address

550 W Vista Way Ste 107
Vista, CA 92083-5707

Phone

(626) 893-0480

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Melissa Ivonne Barsotti, LCSWNPI 1043419195

Title

Ceo

Phone

(626) 893-0480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Melissa Ivonne Barsotti, LCSW

  • Clinical Social Worker
  • San Marcos, CA
  • NPI 1043419195
  NPD Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1629570304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835707",
            "telephone_number": "626-893-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835707",
            "telephone_number": "626-893-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "BARSOTTI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "IVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-893-0480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "64017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "4115654",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn L Millikin, LMFT
• David Milman
• Caitlyn Herold Milne
• Mindbodyology Family Therapy Inc
• Mindera Corporation
• Erica Mingee, LEP, PPS
• Minimally Invasive Surgeons of North County Inc.
• Claire Mino
• Rosalina Miramontes
• Alejandra Miranda

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vista, CA
• Providers in Vista, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.