Modern Mind & Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MODERN MIND & WELLNESS

Practice address

1100 Bellevue Way NE Ste 8a-487
Bellevue, WA 98004-4280

Phone

(828) 273-6056

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Caldwell Mason, PMHNPNPI 1932796331

Title

Pmhnp

Phone

(828) 273-6056

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Melissa Caldwell Mason, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1932796331
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1891487724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BELLEVUE WAY NE STE 8A-487",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044280",
            "telephone_number": "828-273-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELLEVUE WAY NE STE 8A-487",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044280",
            "telephone_number": "828-273-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MIND & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CALDWELL",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "828-273-6056",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Stephen Mock, D.O.
• Lorelei A Mock, PT
• Modulla Health LLC
• Sofia Moen, LCGC
• Arash Moghaddam, M.D.
• Sobia Moghis, M.D.
• Aisha Osman Mohamed

• Psychiatric/Mental Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.