Myndfull Care Management Colorado PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MYNDFULL CARE MANAGEMENT COLORADO PC

Practice address

100 Fillmore Street 5TH Floor
Office 522
Denver, CO 80206

Phone

(855) 839-8878

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Teja Singh

Title

Ceo/Owner

Phone

(855) 839-8878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Ricko Fahy Rask, NP

  • Adult Health Nurse Practitioner
  • Aurora, CO
  • NPI 1437694668
  Medicare reassignment NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1740037498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 W LAKE MEAD BLVD",
            "address_2": "SUITE 5 PMB 1113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348340",
            "telephone_number": "855-839-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FILLMORE STREET 5TH FLOOR",
            "address_2": "OFFICE 522",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "855-839-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNDFULL CARE MANAGEMENT COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "TEJA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "855-839-8878"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myheartlife PLLC
• Myintel Co.
• Andreas Mykoniatis, MD
• Gabrielle Eileen Mykoniatis, MD
• Alexa Myles
• Myoptics LLC
• Myotherapy Physical Therapy and Wellness LLC (Myotherapy, Physical Therapy and Wellness)
• Kayla Myren, NP
• Ethan John Mytinger
• Sopheap NA, M.D.

• Internal Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.