Mind Matters Medical LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIND MATTERS MEDICAL LLC

Practice address

7901 Schatz Pointe Dr Ste a
Centerville, OH 45459-3824

Phone

(937) 438-9841

Fax

(937) 438-9851

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By 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

Ariz Anklesaria, DONPI 1538314398

Title

Owner

Phone

(937) 483-9841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Ariz Anklesaria, D.O.

  • Psychiatry Physician
  • Troy, OH
  • NPI 1538314398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1881310373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593824",
            "telephone_number": "937-438-9841",
            "fax_number": "937-438-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593824",
            "telephone_number": "937-438-9841",
            "fax_number": "937-438-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "ANKLESARIA",
        "authorized_official_first_name": "ARIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-483-9841",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Michele Miller
• Sahm Q Miller, CPHT
• Scott S Miller, PT
• Cameron J Mills
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• Angela Beth Minton, RN
• Susanne Mitchell, PCC-S
• Tiarra Mitchell, PSYD
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• Psychologist in Centerville, OH
• Providers in Centerville, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.