Organization Active NPI

Mindful Wellness Center

  • Psychiatry Physician
  • Troy, MI
National Provider Identifier
1881978773
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301074413 Issued in MI
Legal business name
MINDFUL WELLNESS CENTER
Practice address
4726 Douglas Fir Dr
Troy, MI 48085-3577
Phone
(248) 524-3280
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Varsha Karamchandani, M.D.
Title
Psychiatrist
Phone
(248) 524-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301074413 MI Primary

Addresses

Primary practice location

4726 Douglas Fir Dr
Troy, MI 48085-3577

Mailing address

4726 Douglas Fir Dr
Troy, MI 48085-3577
Phone (248) 524-3280

National Provider Directory

National Provider Directory

Locations

75 Barclay Cir
Ste 235
Rochester Hills, MI 48307
Phone (248) 524-3280

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1881978773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 DOUGLAS FIR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853577",
            "telephone_number": "248-524-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 DOUGLAS FIR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853577",
            "telephone_number": "248-524-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "KARAMCHANDANI",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "248-524-3280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301074413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.