Therapeutic Mind Group, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERAPEUTIC MIND GROUP, PLLC

Practice address

12507 NE Bel Red Rd Ste 103
Bellevue, WA 98005-2500

Phone

(206) 601-1817

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By 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

Tito Maltos, MSW

Title

Clinical Social Worker

Phone

(206) 601-1817

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1710530167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 24TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585663",
            "telephone_number": "206-601-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 NE BEL RED RD STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052500",
            "telephone_number": "206-601-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MIND GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MALTOS",
        "authorized_official_first_name": "TITO",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "206-601-1817",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aude Lawu Thema
• Theories of Mind PLLC
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• Therapeutic Health Services (Eastside Branch)
• Therapeutic Health Services
• Therapy Management Services, PLLC (Bellevue Hand Therapy)
• Therapy Management Services, PLLC (Bellevue Hand Therapy)
• Therapy Management Services, PLLC
• Keselrani Thiagarajan
• Susan Thiel, RD

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.