Mind & Med PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MIND & MED PLLC

Practice address

536 Silicon Dr Ste 102
Southlake, TX 76092-9020

Phone

(817) 203-4179

NPI assigned

Oct 22, 2025

Organization subpart

No

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

Authorized official

Name

Laura Marcela FredesNPI 1376033779

Title

Psychiatrist

Phone

(646) 808-9186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Laura Marcela Fredes, MD

  • Psychiatry Physician
  • Southlake, TX
  • NPI 1376033779

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1841167905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 LA SALLE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921368",
            "telephone_number": "817-203-4179",
            "fax_number": "934-944-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SILICON DR STE 102",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929020",
            "telephone_number": "817-203-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "FREDES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARCELA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "646-808-9186"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Miller, PTA
• Susan Denise Miller, D.C.
• Jennifer Millimet
• Brittany Danielle Millweard, DPT
• April Minatrea, PH.D.
• Mindforge Psychiatry, PLLC
• Minerva Labs LLC
• Ameera Sameer Minhas
• Dennis Earl Minotti II, D.O.
• Rachel Grace Minyard

• Psychiatry Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.