Organization Active NPI

Modern Minds

  • Cognitive & Behavioral Psychologist
  • Charleston, SC
National Provider Identifier
1992459044
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
MODERN MINDS
Practice address
40 Calhoun St Ste 240
Charleston, SC 29401-3534
Phone
(843) 531-9036
Fax
(833) 358-1254
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Heather Burgett
Title
Director, Practice Operations
Phone
(843) 531-9036

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

40 Calhoun St Ste 240
Charleston, SC 29401-3534

Mailing address

40 Calhoun St Ste 240
Charleston, SC 29401-3534
Phone (843) 531-9036

Other identifiers 1

IdentifierTypeStateIssuer
000-000-0000OtherNO OTHER NUMBERS TO DECLARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contactus@modern-minds.com Other

National Provider Directory

National Provider Directory

Locations

40 Calhoun St
Ste 240
Charleston, SC 29401
Phone (843) 531-9036

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1992459044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CALHOUN ST STE 240",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013534",
            "telephone_number": "843-531-9036",
            "fax_number": "833-358-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALHOUN ST STE 240",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013534",
            "telephone_number": "843-531-9036",
            "fax_number": "833-358-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "BURGETT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR, PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "843-531-9036"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO OTHER NUMBERS TO DECLARE",
            "identifier": "000-000-0000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contactus@modern-minds.com",
            "affiliation": "N",
            "endpointDescription": "General Practice Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "General Information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "40 Calhoun St Ste 240",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294013534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.