Organization Active NPI

Mindful Energy

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1629895735
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL ENERGY
Practice address
4132 E Joppa Rd Ste 110-1282
Baltimore, MD 21236-2272
Phone
(410) 929-3470
NPI assigned
Sep 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Authorized official

Name
Dr. Yolanda Davis, DNP, PMHNP-BCNPI 1598400947
Title
Pmhnp
Phone
(410) 929-3470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4132 E Joppa Rd Ste 110-1282
Baltimore, MD 21236-2272

Mailing address

4132 E Joppa Rd Ste 110-1282
Baltimore, MD 21236-2272
Phone (410) 929-3470

National Provider Directory

National Provider Directory

Locations

4132 E Joppa Rd
Ste 1101282
Baltimore, MD 21236
Phone (410) 929-3470

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1629895735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 E JOPPA RD STE 110-1282",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362272",
            "telephone_number": "410-929-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 E JOPPA RD STE 110-1282",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362272",
            "telephone_number": "410-929-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ENERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "410-929-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "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 Baltimore, MD

Sources for this page

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

Verify at the official NPI Registry.