Mindy Jewett, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

003045 Issued in GA

Legal business name

MINDY JEWETT, LLC

Practice address

2060 Longview Way
Atlanta, GA 30341-1512

Phone

(678) 333-6311

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gayle R Andrus

Title

Organizer

Phone

(770) 638-3222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Mindy B. Jewett, LCSW

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1477684025
  Medicare reassignment NPD

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1992994172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LONGVIEW WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411512",
            "telephone_number": "678-333-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LONGVIEW WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411512",
            "telephone_number": "678-333-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY JEWETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "770-638-3222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "003045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Medicine Integrative Care, LLC
• Mindful Therapy Works, LLC
• Mindspring Health Inc.
• Mindwaves Mental Health LLC
• Mindy Clark LLC
• Brandon A Mines, MD
• Sarah Mary Mings, L.P.C.
• Annaleia Miniatis
• Michael Andrew Minichiello, DO
• Salvatore Joseph Minicozzi, D.C., C.C.E.P.

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.