Mind Matters, P.C.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

AL14837 Issued in AL

Legal business name

MIND MATTERS, P.C.

Practice address

6 Office Park Cir
Ste 202
Birmingham, AL 35223-2512

Phone

(205) 870-8822

Fax

(205) 871-8394

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stewart D. Waddell, M.D.NPI 1427177351

Title

President

Phone

(205) 870-8822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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.

• Stewart D. Waddell, M.D.

  • Child & Adolescent Psychiatry Physician
  • Birmingham, AL
  • NPI 1427177351
  Medicare reassignment NPD Authorized official
• Charles Whetsell, PH.D.

  • Psychologist
  • Irondale, AL
  • NPI 1518183540
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689890626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "address_2": "STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232512",
            "telephone_number": "205-870-8822",
            "fax_number": "205-871-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "address_2": "STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232512",
            "telephone_number": "205-870-8822",
            "fax_number": "205-871-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-870-8822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "AL14837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Simone Mims, BSN, RN
• Lakeidra T Mims, LMSW
• Tonia Mims
• Jiwon Min
• Emily Katherine Mince, PA-C
• Mindful Caring Counseling & Consulting
• Mindful Paths, LLC
• Arnold Mindingall, PHD
• Cherie B Miner, M.D.
• Aimee Champagne Minko, MD

• Child & Adolescent Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Child & Adolescent Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.