Mind Care Connect Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND CARE CONNECT INC

Practice address

10539 E Kinetic Dr
Mesa, AZ 85212-8043

Phone

(469) 466-2055

NPI assigned

Mar 10, 2025

Last updated

Jun 20, 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

Abibat AdeoyeNPI 1134689078

Title

Owner

Phone

(469) 466-2055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR, AZ3 enrollments

Enrollment records 3

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.

• Abibat Adenike Adeoye

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1134689078

  OR, WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1629877980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 HAVANA DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635676",
            "telephone_number": "469-466-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10539 E KINETIC DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128043",
            "telephone_number": "469-466-2055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1986 Wallace Rd NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973042292",
            "country_code": "US",
            "telephone_number": "469-466-2055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND CARE CONNECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "ABIBAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-466-2055"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind 247 Practice LLC
• Mind 247 Practice LLC
• Mind 247 Practice LLC
• Mind 247 Practice LLC
• Mind by Mya LLC (Mind By Mya)
• Mind Clinic Inc
• Mind-Body Connections PLLC
• Mindful Creations
• Mindful Heart Health Center
• Mindful Recovery Center, LLC

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.