NPIMap

Organization Active NPI

Mindwell Gardens Counseling and Psychological Services, PC

  • Clinical Psychologist
  • Temecula, CA
National Provider Identifier
1659906774
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDWELL GARDENS COUNSELING AND PSYCHOLOGICAL SERVICES, PC
Practice address
44025 Margarita Rd Ste 101
Temecula, CA 92592-2728
Phone
(951) 331-3938
Fax
(951) 331-3843
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Dr. Xochitl Cortina Leevers, PSYDNPI 1528461597
Title
President
Phone
(951) 331-3938

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

44025 Margarita Rd Ste 101
Temecula, CA 92592-2728

Mailing address

44025 Margarita Rd Ste 101
Temecula, CA 92592-2728
Phone (951) 331-3938

Other names 1

  • Mindwell Gardens Other name

National Provider Directory

National Provider Directory

Locations

44025 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (661) 347-6679

Practitioners & affiliated clinicians

Practitioners 2

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1659906774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44025 MARGARITA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922728",
            "telephone_number": "951-331-3938",
            "fax_number": "951-331-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44025 MARGARITA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922728",
            "telephone_number": "951-331-3938",
            "fax_number": "951-331-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL GARDENS COUNSELING AND PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "LEEVERS",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_middle_name": "CORTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-331-3938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindwell Gardens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.