NPIMap

Organization Active NPI

Mending Minds

  • Adult Mental Health Clinic/Center
  • East Longmeadow, MA
National Provider Identifier
1902195464
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
195411 Issued in MA
Legal business name
MENDING MINDS
Practice address
24 Spring Valley Rd
East Longmeadow, MA 01028-2513
Phone
(413) 530-3273
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Ms. Laurie Kimball, APRN NP
Title
President
Phone
(413) 530-3273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 195411 MA Primary

Addresses

Primary practice location

24 Spring Valley Rd
East Longmeadow, MA 01028-2513

Mailing address

24 Spring Valley Rd
East Longmeadow, MA 01028-2513
Phone (413) 530-3273

Other identifiers 2

IdentifierTypeStateIssuer
000767402OtherMAMEDICARE PTAN
020874OtherMBHP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1902195464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SPRING VALLEY RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282513",
            "telephone_number": "413-530-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SPRING VALLEY RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282513",
            "telephone_number": "413-530-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-530-3273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "195411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000767402",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "020874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.