NPIMap

Organization Active NPI

Mending Minds, LLC

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1780258798
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MENDING MINDS, LLC
Practice address
1311 W 96TH St Ste 110
Indianapolis, IN 46260-1172
Phone
(317) 876-3699
Fax
(317) 876-3600
NPI assigned
May 14, 2021
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Lindsay Brooke Russell, PMHNPNPI 1033660188
Title
Owner
Phone
(765) 453-7422

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1311 W 96TH St Ste 110
Indianapolis, IN 46260-1172

Mailing address

1311 W 96TH St Ste 110
Indianapolis, IN 46260-1172
Phone (317) 876-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719001995 IN Part B Supplier - Clinic/Group Practice 4284037987 Receives reassigned benefits from 26 practitioners
Practice locations: Indianapolis, IN; Kokomo, IN

National Provider Directory

National Provider Directory

Locations

1311 W 96th St
Indianapolis, IN 46260
Phone (317) 876-3699

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1780258798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W 96TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601172",
            "telephone_number": "317-876-3699",
            "fax_number": "317-876-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W 96TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601172",
            "telephone_number": "317-876-3699",
            "fax_number": "317-876-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-453-7422",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.