Mind Links Consulting PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00003318 Issued in WA

Legal business name

MIND LINKS CONSULTING PLLC

Practice address

2820 Northup Way
Suite 105
Bellevue, WA 98004-1419

Phone

(425) 213-2848

Fax

(253) 582-0695

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brock Brandon Weedman, PSY.D.NPI 1558346502

Title

Clinical Psychologist

Phone

(425) 213-2848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Brock Brandon Weedman, PSY D

  • Psychologist
  • Bellevue, WA
  • NPI 1558346502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700957388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY",
            "address_2": "SUITE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041419",
            "telephone_number": "425-213-2848",
            "fax_number": "253-582-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY",
            "address_2": "SUITE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041419",
            "telephone_number": "425-213-2848",
            "fax_number": "253-582-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND LINKS CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEEDMAN",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-213-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8902991",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Yong-Hyun Min, DC, MSAOM
• George Guiho Min, M.D.
• In Jeong Min, DDS
• SE Won Min
• Eiji Minami, MD
• Mackenzie Minehan, MD
• Grace Adina Miner
• Travis William Miner
• Jasmit Singh Minhas, MD
• Renee Carole Minjarez, M.D.

• Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychologist in Washington

• 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.