Mind Clinic Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4446 Issued in AZ

Legal business name

MIND CLINIC INC

Practice address

10238 E Hampton Ave
Suite 205
Mesa, AZ 85209-3316

Phone

(480) 354-6463

Fax

(480) 354-6480

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Yasir S Shareef, D.O.NPI 1336178235

Title

Presicent

Phone

(480) 354-6463

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasir Shareef, D.O.

  • Neurology Physician
  • Pomona, CA
  • NPI 1336178235

  AZ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1699973628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8323",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852528323",
            "telephone_number": "480-354-6463",
            "fax_number": "480-354-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE",
            "address_2": "SUITE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093316",
            "telephone_number": "480-354-6463",
            "fax_number": "480-354-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "YASIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESICENT",
        "authorized_official_telephone_number": "480-354-6463",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "4446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "1376151-0",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mind 247 Practice LLC
• Mind 247 Practice LLC
• Mind 247 Practice LLC
• Mind by Mya LLC
• Mind Care Connect Inc
• Mind-Body Connections PLLC
• Mindful Creations
• Mindful Heart Health Center
• Mindful Recovery Center, LLC
• Mindful Wellness of Arizona PLLC

• Neurology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.