Organization Active NPI

Mindful Medicine, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayside, WI
National Provider Identifier
1972330827
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFUL MEDICINE, LLC
Practice address
8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633
Phone
(414) 216-3535
Fax
(414) 206-1231
NPI assigned
Sep 16, 2024
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Nanette Palay, APNPNPI 1871844639
Title
Owner/Pmhnp
Phone
(414) 416-6398

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633

Mailing address

8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633
Phone (414) 216-3535

National Provider Directory

National Provider Directory

Locations

8989 N Port Washington Rd
Ste 211
Bayside, WI 53217
Phone (414) 216-3535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1972330827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON RD STE 211",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171633",
            "telephone_number": "414-216-3535",
            "fax_number": "414-206-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON RD STE 211",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171633",
            "telephone_number": "414-216-3535",
            "fax_number": "414-206-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "PALAY",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "414-416-6398",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.