Myndfull Care Management Michigan PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MYNDFULL CARE MANAGEMENT MICHIGAN PC

Practice address

5930 Lovers LN Ste L1
Portage, MI 49002-1673

Phone

(619) 752-0011

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Teja Singh

Title

Owner/MD

Phone

(855) 839-8878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1811613136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 W LAKE MEAD BLVD",
            "address_2": "SUITE 5 PMB 1113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 LOVERS LN STE L1",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021673",
            "telephone_number": "619-752-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNDFULL CARE MANAGEMENT MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "TEJA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "855-839-8878"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Muszynski, L.AC
• Remnant Mwanahiba, MD
• Kennedy Opiyo Mwanda
• Brett Andrew Myers, DC
• Myeyedr Optometry of Michigan, LLC
• Myndfull Care Michigan PC
• Nadine Fish Inc
• Paula Rose Nagy
• Sydney Nardizzi
• Amber Rachelle Nash-Guilford, D.O.

• Family Medicine Physician in Portage, MI
• Providers in Portage, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.