Organization Active NPI

Mindbridge Behavioral Health PLLC

  • Pediatrics Physician
  • Winston Salem, NC
National Provider Identifier
1730031998
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MINDBRIDGE BEHAVIORAL HEALTH PLLC
Practice address
408 Roslyn Rd
Winston Salem, NC 27104-2036
Phone
(336) 407-8135
NPI assigned
Feb 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Lauren Nicole Stokes
Title
Clinic Administrator
Phone
(336) 416-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

408 Roslyn Rd
Winston Salem, NC 27104-2036

Mailing address

1311 Westbrook Plaza Dr Ste 104
Winston Salem, NC 27103-1327
Phone (336) 510-0156

National Provider Directory

National Provider Directory

Locations

1311 Westbrook Plaza Dr
Ste 104
Winston Salem, NC 27103
Phone (336) 999-3125

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1730031998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WESTBROOK PLAZA DR STE 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031327",
            "telephone_number": "336-510-0156",
            "fax_number": "336-967-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ROSLYN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271042036",
            "telephone_number": "336-407-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBRIDGE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "336-416-8523"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.