Mindoula Clinical Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDOULA CLINICAL SERVICES LLC

Practice address

1117 E West Hwy
Silver Spring, MD 20910-4852

Phone

(954) 650-2802

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Couto

Title

SVP Operations

Phone

(954) 650-2802

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1770065047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104852",
            "telephone_number": "954-650-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDOULA CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "COUTO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "954-650-2802"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Therapy Connections LLC
• Mindfully Rooted Collaborative Therapy, LLC
• Mindlife Counseling LLC
• Mindlincs
• Mindology LLC
• Mindoula Health Inc.
• Mindoula Health Inc.
• Mindoula Health Inc.
• Harvey N Mininberg, MD
• Shannon Minter

• Community/Behavioral Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Community/Behavioral Health Agency in Maryland

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