Active NPI
Mindful Mental Wellness, P.a.
- Psychiatric/Mental Health Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1720895311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDFUL MENTAL WELLNESS, P.A.
- Practice address
- 112 S Park St
San Francisco, CA 94107-1809 - Phone
- (408) 703-7926
- NPI assigned
- Dec 17, 2024
- Last updated
- Dec 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Risheet Patel, MD
- Title
- Medical Director
- Phone
- (855) 294-3663
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X |
Addresses
Primary practice location
112 S Park St
San Francisco, CA 94107-1809
Mailing address
548 Market St
San Francisco, CA 94104-5401
National Provider Directory
National Provider DirectoryLocations
112 S Park St
San Francisco, CA 94107
Phone (408) 703-7926
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Little Elm, TX
- NPI 1992379762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1720895311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 MARKET ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941045401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S PARK ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071809",
"telephone_number": "408-703-7926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL MENTAL WELLNESS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RISHEET",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "855-294-3663",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Katherine Laureana Minaya, MD
- Mind and Body Psychological Services, PC
- Trisha Kulkarni Mindel, A.S.W.
- Mindful Health Solutions a Professional Medical Corporation (TMS Health Solutions)
- Mindful Living, a Marriage and Family Therapy Corporation
- Mindfulsf Marriage and Family Therapy Inc. (mindfulSF)
- Sean Ace Minerales
- Rita Angelina Minero, MSW
- Jacob Thomas Ming, D.D.S.
- Matthew Dominic Mingrone, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.