Organization Active NPI

Mindful One Wellness Solutions

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1992521561
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MINDFUL ONE WELLNESS SOLUTIONS
Practice address
3742 SW Pasadena St
Portland, OR 97219-9513
Phone
(480) 740-7465
NPI assigned
Nov 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Ruth Mbatia, RNNPI 1396603023
Title
Ceo
Phone
(480) 740-7465

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 Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

3742 SW Pasadena St
Portland, OR 97219-9513

Mailing address

3742 SW Pasadena St
Portland, OR 97219-9513
Phone (480) 740-7465

National Provider Directory

National Provider Directory

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": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1992521561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 SW PASADENA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972199513",
            "telephone_number": "480-740-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 SW PASADENA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972199513",
            "telephone_number": "480-740-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ONE WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "MBATIA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-740-7465",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.