Organization Active NPI

Mind Alchemy PLLC

  • Psychiatry Physician
  • Sioux City, IA
National Provider Identifier
1730793845
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND ALCHEMY PLLC
Doing business as
Mind Alchemy PLLC
Practice address
505 5TH St Ste 201
Sioux City, IA 51101-1500
Phone
(712) 454-8981
Fax
(712) 248-8732
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Dr. Nesrin K Abu Ata, MDNPI 1528297660
Title
Psychiatrist/Ceo
Phone
(712) 454-8981

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

505 5TH St Ste 201
Sioux City, IA 51101-1500

Mailing address

505 5TH St Ste 201
Sioux City, IA 51101-1500
Phone (712) 454-8981

Other names 1

  • Mind Alchemy PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

505 5th St
Ste 201
Sioux City, IA 51101
Phone (712) 454-8981

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1730793845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011500",
            "telephone_number": "712-454-8981",
            "fax_number": "712-248-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011500",
            "telephone_number": "712-454-8981",
            "fax_number": "712-248-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ALCHEMY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "ABU ATA",
        "authorized_official_first_name": "NESRIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHIATRIST/CEO",
        "authorized_official_telephone_number": "712-454-8981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Alchemy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.