Organization Active NPI

Sound Mind Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bellefonte, PA
National Provider Identifier
1669907697
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
SP015441 Issued in PA
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

Updated by the provider on Apr 27, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.