Mindful Health Solutions Ga PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDFUL HEALTH SOLUTIONS GA PC

Practice address

470 N Sessions St NW
Marietta, GA 30060-1326

Phone

(844) 867-8444

NPI assigned

Mar 28, 2022

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Clark

Title

Credentialing Manager

Phone

(415) 636-6955

Specialties & licenses 2

Addresses

Other names 1

• Mindful Health Solutions Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 6

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.

• Joy Mitchell

  • Marriage & Family Therapist
  • Kennesaw, GA
  • NPI 1396327367
  Medicare reassignment NPD
• Katie Terry, LCSW

  • Mental Health Counselor
  • Kennesaw, GA
  • NPI 1144806746
  Medicare reassignment NPD
• Gowri Padma Mounica Thummala, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1831622612
  Medicare reassignment NPD
• Bakari Eugene Vickerson, M.D.

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1437310380
  Medicare reassignment NPD
• Tobias Francis Marton, M.D., PH.D.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1346568821
  NPD
• Richard A. Bermudes, M.D.

  • Psychiatry Physician
  • El Dorado Hills, CA
  • NPI 1518940774
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1982354395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POST ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084908",
            "telephone_number": "844-867-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N SESSIONS ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601326",
            "telephone_number": "844-867-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALTH SOLUTIONS GA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "415-636-6955"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Health Solutions",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mindful Health Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa Ann Mills
• Jessica Milne
• Rhonda Dawes Milner, MD, APC
• Emily Grace Minday, MA, APC, CCTP
• Mindful Healing Counseling & Therapy Services, LLC
• Mindful Solutions Therapy
• Mindful Transitions, LLC
• Lydia Emmons Minear, MA, LAPC
• Bailey Mingledorff
• Jennifer Minnicks, LCSW

• Psychiatry Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.