The Mindful Doc PLLC

Primary specialty

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

Legal business name

THE MINDFUL DOC PLLC

Practice address

13403 Newcastle Commons Dr
Newcastle, WA 98059-3219

Phone

(720) 443-3038

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Brian Nicolae Iliescu, PSYDNPI 1225408081

Title

Owner

Phone

(720) 443-3038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian Iliescu, LP

  • Psychologist
  • Lakewood, CO
  • NPI 1225408081
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1629896832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RAINBOW DR PMB 3664",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "77399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 NEWCASTLE COMMONS DR",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593219",
            "telephone_number": "720-443-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MINDFUL DOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "ILIESCU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "NICOLAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-443-3038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preeti Suryakumar, OTR/L
• Sync LLC
• Jenny X Tang, RPH
• Shannon Evette Tartaglia, COTA/L
• Alan Tesoro, MSPT
• Sevda Topalova, OPTOMETRIST
• Cathrine Vach, D.M.D.
• Allison Paige Veidenheimer, ARNP
• Cassandra Carina Villarreal, MS, CCC-SLP
• Bichphung L Vu, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.