Mindweal Health, PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

MINDWEAL HEALTH, PLLC

Doing business as

BanCAPs

Practice address

24B Professional Park Dr
Maryville, IL 62062-5856

Phone

(618) 310-0085

NPI assigned

Jun 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Rahul Bansal, MD

Title

Ceo & Medical Director

Phone

(618) 310-0085

Specialties & licenses 2

Addresses

Other names 1

• BanCAPs Doing business as

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1689299836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B PROFESSIONAL PARK DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625856",
            "telephone_number": "618-310-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24B PROFESSIONAL PARK DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625856",
            "telephone_number": "618-310-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWEAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "CEO & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "618-310-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BanCAPs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millennium Anesthesiology Consultants, LLC
• Amanda Rea Miller, RN, MSN, PMHNP-BC
• Morgan Miller, MD
• Ann LK Millikin, LCPC
• Mindful Priority Counseling LLC
• Mohamed Megahy M.D. LTD.
• Deanna Moorman, FNP-BC
• Amy D Morby, L.C.S.W.
• Cynthia Moreno, MS CCC-SLP
• Jennifer L. Moss, OT

• Child & Adolescent Psychiatry Physician in Maryville, IL
• Providers in Maryville, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.