Mindful Matters LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFUL MATTERS LLC

Doing business as

Mindful Matters

Practice address

12 Jarvis LN
North Attleboro, MA 02760-4313

Phone

(508) 838-8484

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Caila Shaw, LMHCNPI 1306209572

Title

Clinical Director

Phone

(508) 838-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mindful Matters Doing business as

Electronic endpoints 1

Practitioners 1

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

• Caila Shaw, MED

  • Mental Health Counselor
  • Taunton, MA
  • NPI 1306209572
  NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1962001651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 JARVIS LN",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604313",
            "telephone_number": "508-838-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JARVIS LN",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604313",
            "telephone_number": "508-838-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CAILA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "508-838-8484",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF ALLIED MENTAL HEALTH",
            "identifier": "11900",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindfulmatterspractice@gmail.com",
            "affiliation": "N",
            "address_1": "12 Jarvis Ln",
            "city": "North Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027604313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mindful Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in North Attleboro, MA
• Providers in North Attleboro, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.