Organization Active NPI

A Beautiful Mind Behavioral Health Nursing Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1902697584
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A BEAUTIFUL MIND BEHAVIORAL HEALTH NURSING PROFESSIONAL CORPORATION
Doing business as
A Beautiful Mind Behavioral Health
Beautified iv med spa
Practice address
200 N Vermont Ave Unit No340
Los Angeles, CA 90004-4899
Phone
(213) 840-7247
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Miss Faridah Mumin, NPNPI 1710412432
Title
Ceo
Phone
(213) 840-7247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

200 N Vermont Ave Unit No340
Los Angeles, CA 90004-4899

Mailing address

200 N Vermont Ave Unit No340
Los Angeles, CA 90004-4899
Phone (213) 840-7247

Other names 2

  • A BEAUTIFUL MIND BEHAVIORAL HEALTH Doing business as
  • Beautified iv med spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117003747 CA Part B Supplier - Clinic/Group Practice 9638660749 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1902697584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VERMONT AVE UNIT NO340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044899",
            "telephone_number": "213-840-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VERMONT AVE UNIT NO340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044899",
            "telephone_number": "213-840-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEAUTIFUL MIND BEHAVIORAL HEALTH NURSING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MUMIN",
        "authorized_official_first_name": "FARIDAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-840-7247",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A BEAUTIFUL MIND BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beautified iv med spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.