NPIMap

Organization Active NPI

Nova Mind-Body LLC

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1720617533
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVA MIND-BODY LLC
Practice address
116 13TH Ave E Apt 1E
Seattle, WA 98102-6142
Phone
(703) 876-4738
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Dr. Milad Meamarian, NDNPI 1588126254
Title
Owner
Phone
(703) 732-0166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

116 13TH Ave E Apt 1E
Seattle, WA 98102-6142

Mailing address

2516 110TH St SE
Everett, WA 98208-7824

Other practice location 1

11419 19th Ave SE Ste C106
Everett, WA 98208-5120
Phone (425) 523-8878

Other names 1

  • Nova Mind-Body Therapies Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1720617533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 110TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 13TH AVE E APT 1E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981026142",
            "telephone_number": "703-876-4738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11419 19th Ave SE Ste C106",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982085120",
            "country_code": "US",
            "telephone_number": "425-523-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA MIND-BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MEAMARIAN",
        "authorized_official_first_name": "MILAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-732-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Mind-Body Therapies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Mind-Body Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.