Mentoring Minds for Mental Health, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

2572 Issued in NC

Legal business name

MENTORING MINDS FOR MENTAL HEALTH, PLLC

Practice address

4000 Shipyard Blvd
Suite 100
Wilmington, NC 28403

Phone

(910) 796-7848

Fax

(910) 796-7849

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Denise Joan Hanson, PSY.D.

Title

Licensed Psychologist/Owner

Phone

(910) 792-5570

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Donna Rae Vaught, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
  • NPI 1750445888
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1740476134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036192",
            "telephone_number": "910-796-7848",
            "fax_number": "910-796-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-796-7848",
            "fax_number": "910-796-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTORING MINDS FOR MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "910-792-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "2572",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "2572",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "2572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis G. Mendleson, L.P.C.S., A.C.H.
• Stacy Menefee
• John Ethan Meng, DPT
• Tizita Mengistu, PHARMD
• Carrie Sue Menke, MS LPC
• Evanne Mercer
• Rena M Mercer, PT
• David Guy Meredith, D.C.
• Cynthia Merrell, CRNA
• Gerald Merrell, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.