Mindful Medicine, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-071457B Issued in OH

Legal business name

MINDFUL MEDICINE, INC.

Practice address

3690 Orange PL
Ste 410
Beachwood, OH 44122-4464

Phone

(216) 292-6288

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Linda Marie Ehrenbeit

Title

Billing Manager

Phone

(440) 708-0598

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Margaret Mary Conway, LISW, LCDC II

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1750324422
  NPD (past)
• Kim Nicole Goldhamer, L.I.S.W. I.C.D.C.

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1942221353
  NPD (past)
• Marjorie Maria Moyar, PHD

  • Clinical Psychologist
  • Beachwood, OH
  • NPI 1861594293
  NPD (past)
• Kathy Pender, LPCC CCDC

  • Counselor
  • Beachwood, OH
  • NPI 1730232406
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1962681932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "STE 410",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-292-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "STE 410",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-292-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "EHRENBEIT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "440-708-0598"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-071457B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Anne Mills
• William Robert Mills, M.D.
• Anne Catherine Milovancev, FNP-C
• Torri Milton
• Beena A Minai, MD, MPH
• Robert C Miner, PHD
• Ariel Mintz
• Paige Mintz, MSW
• Cynthia Ruth Mironets, RDN, LD
• Sumaiya Mirza

• Psychiatry Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.