Active NPI
Sound Mind Healthcare LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bellefonte, PA
National Provider Identifier
1669907697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- SP015441
- Legal business name
- SOUND MIND HEALTHCARE LLC
- Practice address
- 105 S Spring St
Bellefonte, PA 16823-1335 - Phone
- (814) 580-9719
- Fax
- (814) 474-6424
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Akinola Oluwaseun Mobolaji, CRNP
- Title
- Psychiatric Nurse Practitioner
- Phone
- (203) 606-3335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | SP015441 | PA | Primary |
Addresses
Primary practice location
105 S Spring St
Bellefonte, PA 16823-1335
Mailing address
117 N Front St
Apt a
Philipsburg, PA 16866-1603
Phone (203) 606-3335
National Provider Directory
National Provider DirectoryLocations
105 S Spring St
Bellefonte, PA 16823
Phone (814) 580-9719
220 N Front St
Ste 301
Philipsburg, PA 16866
Phone (814) 343-7373
1169 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 343-7373
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Philipsburg, PA
- NPI 1780357889
-
- Addiction (Substance Use Disorder) Counselor
- Clearfield, PA
- NPI 1902371818
-
- Psychiatric/Mental Health Nurse Practitioner
- Clearfield, PA
- NPI 1922603240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493251200000",
"number": "1669907697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N FRONT ST",
"address_2": "APT A",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168661603",
"telephone_number": "203-606-3335",
"fax_number": "814-474-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S SPRING ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168231335",
"telephone_number": "814-580-9719",
"fax_number": "814-474-6424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND MIND HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A",
"authorized_official_last_name": "MOBOLAJI",
"authorized_official_first_name": "AKINOLA",
"authorized_official_middle_name": "OLUWASEUN",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "203-606-3335",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "PA",
"license": "SP015441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellefonte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.