Miraminds Holistic Care, Inc

Primary specialty

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

Legal business name

MIRAMINDS HOLISTIC CARE, INC

Practice address

21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512

Phone

(844) 207-8080

Fax

(575) 205-0309

NPI assigned

Sep 26, 2020

Organization subpart

No

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

Authorized official

Name

Pamela A Yunga, DNP, PMHNP-BC, ACNPNPI 1700134988

Title

Ceo

Phone

(480) 604-1042

Specialties & licenses 5

Addresses

Other names 1

• MiraMinds Medical Aid, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA, AZ, CO, WA4 enrollments

Enrollment records 4

Locations

Practitioners 2

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

• Pamela Akwi Yunga, DNP, PMHNP-, ACNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
  • NPI 1700134988

  AZ, CO, WA

  Medicare reassignment NPD Authorized official
• Mercy Nyeche, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Culver City, CA
  • NPI 1689190068
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1770190480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 S ORCHARD AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474545",
            "telephone_number": "310-770-2057",
            "fax_number": "575-205-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036512",
            "telephone_number": "844-207-8080",
            "fax_number": "575-205-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9615 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123527",
            "country_code": "US",
            "telephone_number": "310-770-2057",
            "fax_number": "575-205-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5199 E Pacific Coast Hwy Ste 330N",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043353",
            "country_code": "US",
            "telephone_number": "424-372-7860",
            "fax_number": "575-205-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 S Power Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063716",
            "country_code": "US",
            "telephone_number": "480-604-1042",
            "fax_number": "575-205-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRAMINDS HOLISTIC CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "YUNGA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-604-1042",
        "authorized_official_credential": "DNP, PMHNP-BC, ACNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiraMinds Medical Aid, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Richard B. Mink, M.D.
• Bianca Minniti
• Anne-Marie Miodovski
• Raheel Mir, RPH, PHARMD
• Nathaniel Mirador
• Alex Miramontes
• Elizabeth Miramontes
• Leila Eileen Miranda Lavertu, FNP
• Caroline Miranda, LCSW
• Ruth Zenaida Miranda, MD, MPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Torrance, CA
• Providers in Torrance, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.