Mendful Minds Wellness Center, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENDFUL MINDS WELLNESS CENTER, LLC

Practice address

2737 N 5TH St FL 1
Philadelphia, PA 19133-2702

Phone

(267) 831-2157

NPI assigned

Aug 21, 2023

Last updated

Aug 21, 2023By 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

Constance Courduff, CRNPNPI 1073222121

Title

Pmhnp

Phone

(267) 474-9003

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, and the practitioner matching its NPPES authorized official.

• Constance M Courduff, CRNP

  • Nurse Practitioner
  • Williamstown, NJ
  • NPI 1073222121
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1629852918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCENIC VIEW DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813012",
            "telephone_number": "856-526-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 N 5TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332702",
            "telephone_number": "267-831-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDFUL MINDS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "COURDUFF",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "267-474-9003",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Mendez, PT, DPT
• James D Mendez, CRNP
• Jessica M Mendez
• Kendra Mendez, MD
• Maria Mendez, MD
• Matthew Mendillo, APRN,FNP-C
• Mending Hearts and Lives, LLC
• Matthew Thomas Mendlik, MD
• Michael L Mendlow, DDS
• Fabian A Mendoza Ballesteros, M.D

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.