Mind 247 Practice LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
NPI 1902472467 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1902472467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- MIND 247 PRACTICE LLC
- Practice address
- 2728 N 24TH St
Phoenix, AZ 85008-1050 - Phone
- (844) 646-3247
- NPI assigned
- Jun 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Aisha Lynn Depriest
- Title
- Director of Credentialing
- Phone
- (480) 369-4008
Other NPIs on the same Medicare enrollment 7
Practitioners 109
-
Vernon Barksdale, MD,MPH
-
Toni R Crawford-Jonas, APRN-RNP
-
Melinda Callicoat Croci, LPC, LAMFT
-
Troy D. E. Curtis, LPC
-
Vincent P Ekstrom, DNP
-
Nadia Ledesma, DFNP-C
-
Jerica Elaine Miclat Lim, DNP, MN, BSN, PMHNP
-
Margarita Madrid, PMHNP-BC
-
Laura Beth Masters, FNP
-
Carley McCarthy, PMHNP
-
Emily R Ratliff, LCSW
-
Mark Gregory Sonenschein, NURSE PRACTITIONER
-
Felicia D Thomas, LPC-22408
-
Tyler Weber, PMHNP-BC
-
Tamara Perryman, FNP
-
Christy Brinton, LCSW 22658
-
Alyssa Nicole Bruns, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210916001566 | AZ | Part B Supplier - Clinic/Group Practice | 6406253541 |
Receives reassigned benefits from 106 practitioners 7 other NPIs on this enrollment Practice locations: Mesa, AZ; Scottsdale, AZ; Phoenix, AZ |
National Provider Directory
Locations
1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125
2101 W Peoria Ave
Phoenix, AZ 85029
7014 E Camelback Rd
Ste 8100A
Scottsdale, AZ 85251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
2728 N 24TH St
Phoenix, AZ 85008-1050
Mailing address
1465 N Scottsdale Rd Ste 400
Scottsdale, AZ 85257-3634
Phone (844) 646-3247
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | www.mind24-7.com |
Other providers in Phoenix, AZ
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- Mind Az, PC
- Mind Body Kidney
- Mind Empowerment LLC
- Mind Over Matter LLC
- Mind Over Matter Mental Health, PLLC
All providers in Phoenix, AZ · Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.