Organization Active NPI

Mind-Body Connections PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1962173252
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND-BODY CONNECTIONS PLLC
Practice address
3048 E Baseline Rd Ste 122
Mesa, AZ 85204-7288
Phone
(602) 980-8703
Fax
(602) 962-4108
NPI assigned
Sep 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Dorothy IgweNPI 1073038824
Title
Owner
Phone
(602) 980-8703

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3048 E Baseline Rd Ste 122
Mesa, AZ 85204-7288

Mailing address

3048 E Baseline Rd Ste 122
Mesa, AZ 85204-7288
Phone (602) 980-8703

Other practice location 1

2227 W Baseline Rd Ste 103
Tempe, AZ 85283-1250
Phone (602) 980-8703

Other identifiers 1

IdentifierTypeStateIssuer
106503MedicaidAZ

Other names 1

  • Mind-Body Connections Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211117000361 AZ Part B Supplier - Clinic/Group Practice 6608265483 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

3317 S Higley Rd
Ste 114794
Gilbert, AZ 85297

2227 W Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (602) 980-8703

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": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1962173252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047288",
            "telephone_number": "602-980-8703",
            "fax_number": "602-962-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047288",
            "telephone_number": "602-980-8703",
            "fax_number": "602-962-4108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 W Baseline Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831250",
            "country_code": "US",
            "telephone_number": "602-980-8703",
            "fax_number": "602-962-4108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND-BODY CONNECTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-980-8703"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106503",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind-Body Connections",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mind-Body Connections",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.