Mindful Mindz LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDFUL MINDZ LLC

Practice address

13548 Sylvan Oaks Rd
Victorville, CA 92392-1258

Phone

(702) 985-5150

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Andre Cablayan

Title

Owner

Phone

(702) 985-5150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1821673542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13548 SYLVAN OAKS RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923921258",
            "telephone_number": "702-985-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13548 SYLVAN OAKS RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923921258",
            "telephone_number": "702-985-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MINDZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "CABLAYAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-985-5150"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Elizabeth Miller, FNP-RN
• Melanie Miller, LVN
• Patricia Annette Miller, OT
• Shaneka Miller
• Yolanda Latrice Milton-Comford, M.S.
• Mercie Miniszewski
• Lauren Mishel Minnick, MS ATC
• Leslie Mira
• Melissa Frances Mischka, PSY.D
• Jamie L Mishler, PSY.D.

• Community/Behavioral Health Agency in Victorville, CA
• Providers in Victorville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.