Mindglow Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDGLOW PSYCHIATRY PLLC

Practice address

10315 SW 181St St
Miami, FL 33157-5398

Phone

(305) 905-0233

NPI assigned

Feb 26, 2025

Last updated

Feb 26, 2025By 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

Obunadike MbanugoNPI 1700358777

Title

Ceo

Phone

(305) 905-0233

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.

• Obunadike Mbanugo

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1700358777
  Authorized official Same address or phone

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1629875711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 SW 181ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575398",
            "telephone_number": "305-905-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 SW 181ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575398",
            "telephone_number": "305-905-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDGLOW PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MBANUGO",
        "authorized_official_first_name": "OBUNADIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-905-0233"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Presence, LLC
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• Mindfulness and Psychiatry Mental Health Services Inc.
• Mindfulness C.M.H.C.
• Mindfulness Community Mental Health Center Inc.
• Minding the Gap, Inc
• Mindline Therapy LLC
• Mindology Miami
• Minds in Balance
• Minds in Bloom Counseling LLC

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.