Organization Active NPI

Mind by Design Wellness Center, Inc

  • Community/Behavioral Health Agency
  • Palm Desert, CA
National Provider Identifier
1669176566
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND BY DESIGN WELLNESS CENTER, INC
Practice address
78000 Fred Waring Dr Ste 102
Palm Desert, CA 92211-9266
Phone
(760) 308-2600
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Darcy Aviles, LPCCNPI 1972048767
Title
Ceo
Phone
(760) 308-2600

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

78000 Fred Waring Dr Ste 102
Palm Desert, CA 92211-9266

Mailing address

78000 Fred Waring Dr Ste 102
Palm Desert, CA 92211-9266
Phone (760) 308-2600

National Provider Directory

National Provider Directory

Locations

78000 Fred Waring Dr
Ste 102
Palm Desert, CA 92211
Phone (760) 308-2600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1669176566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78000 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119266",
            "telephone_number": "760-308-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78000 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119266",
            "telephone_number": "760-308-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BY DESIGN WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-308-2600",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.