NPIMap

Organization Active NPI

Mind & Body Neurology, LLC

  • Neurology Physician
  • Tempe, AZ
National Provider Identifier
1932842580
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MIND & BODY NEUROLOGY, LLC
Practice address
1492 S Mill Ave Ste 307
Tempe, AZ 85281-5676
Phone
(480) 256-9270
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Charles Andrew Sales, MDNPI 1740542463
Title
Sole Proprietor
Phone
(480) 256-9270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0901X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1492 S Mill Ave Ste 307
Tempe, AZ 85281-5676

Mailing address

1492 S Mill Ave Ste 307
Tempe, AZ 85281-5676
Phone (480) 256-9270

Other practice location 1

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (480) 256-9270

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": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1932842580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 307",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815676",
            "telephone_number": "480-256-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 307",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815676",
            "telephone_number": "480-256-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "480-256-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND & BODY NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "480-256-9270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.