Organization Active NPI

Hearts and Minds, Inc.

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1780629923
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PHD856 Issued in AZ
Legal business name
HEARTS AND MINDS, INC.
Practice address
7220 N 16TH St
Suite G
Phoenix, AZ 85020-5253
Phone
(602) 944-0480
Fax
(602) 944-0482
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Marc S. Walter, PHD
Title
President
Phone
(602) 944-0480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PHD856 AZ Primary

Addresses

Primary practice location

7220 N 16TH St
Suite G
Phoenix, AZ 85020-5253

Mailing address

7220 N 16TH St
Suite G
Phoenix, AZ 85020-5253
Phone (602) 944-0480

Other identifiers 1

IdentifierTypeStateIssuer
732512001MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1780629923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 N 16TH ST",
            "address_2": "SUITE G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205253",
            "telephone_number": "602-944-0480",
            "fax_number": "602-944-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N 16TH ST",
            "address_2": "SUITE G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205253",
            "telephone_number": "602-944-0480",
            "fax_number": "602-944-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS AND MINDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-944-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "PHD856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732512001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.