Mending Minds Village

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MENDING MINDS VILLAGE

Practice address

639 Swenson Ave Apt 1
Springville, UT 84663-2560

Phone

(801) 259-3312

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaden Chad MattinsonNPI 1134975543

Title

Executive Director

Phone

(801) 259-3312

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Kaden Chad Mattinson, EMT, FPSS, QPR INSTR

  • Peer Specialist
  • Springville, UT
  • NPI 1134975543
  NPD Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1871349266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840500310",
            "telephone_number": "801-259-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SWENSON AVE APT 1",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632560",
            "telephone_number": "801-259-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MATTINSON",
        "authorized_official_first_name": "KADEN",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-259-3312"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalisa McEwan
• Michael S McLay, M.D.
• Ian McMaster, M.D.
• Robert G McNutt
• Medallion Supported Living-Springville
• Michael Darley MD Rheumatologist PLLC
• George H Michalek, M.D.
• Dale Mikesell
• Kierea Chanelle Miller, A.M.F.T.
• Alexis Mills

• Voluntary or Charitable Agency in Springville, UT
• Providers in Springville, UT by specialty
• Voluntary or Charitable Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.