MINDFUL, LLC (NPI# 1275810962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275810962 |
| Entity Type | Organization |
| Organization Name | MINDFUL, LLC |
| Practice Address |
12700 Hillcrest Rd Suite 176 Dallas TX 75230-2033 |
| Mailing Address |
330 Appian Way Dallas TX 75216-1020 |
| Practice Telephone | 2147908075 |
| Mailing Telephone | 2147908075 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | DR. DAVID MICHAEL YOUNG II (CEO) |
| Authorized Official Telephone | 2147908075 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35208 | TX | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MINDFUL, LLC | 735 Sw St Clair Ave, Apt 2302, Portland, OR 97205 |
| Street Address |
12700 HILLCREST RD SUITE 176 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033481 | Brenda Weinfeld Bliss | Speech-Language Pathologist | 12700 Hillcrest Rd, Suite 207, Dallas, TX 75230-2033 | 2005-09-14 |
| 1609351253 | Ricky Charles Merriam | Massage Therapist | 12700 Hillcrest Rd, Ste 125 #143, Dallas, TX 75230-2009 | 2018-09-29 |
| 1871913822 | Ralph W Martin Ed. D. PC | Counselor | 12700 Hillcrest Rd, Suite 212, Dallas, TX 75230-2033 | 2014-04-17 |
| 1154768125 | Olivia Marlene Baskin | Social Worker | 12700 Hillcrest Rd, 274, Dallas, TX 75230-2033 | 2013-05-30 |
| 1972868081 | Anne Morris | Psychologist | 12700 Hillcrest Rd, Suite 275, Dallas, TX 75230-2033 | 2012-07-05 |
| 1164798997 | Thoc Pa | Internal Medicine | 12700 Hillcrest Rd, Dallas, TX 75230-2033 | 2012-03-27 |
| 1023394871 | David Michael Young II | Psychologist | 12700 Hillcrest Rd, Suite 176, Dallas, TX 75230-2033 | 2011-10-25 |
| 1497030597 | Joseph A. Shaw | Counselor | 12700 Hillcrest Rd, Suite 250, Dallas, TX 75230-2033 | 2011-10-20 |
| 1063727162 | Amy Schmidt Brenner | Social Worker | 12700 Hillcrest Rd, Ste 176, Dallas, TX 75230-2033 | 2010-08-12 |
| 1538488952 | Mirchelle Kessel Louis | Social Worker | 12700 Hillcrest Rd, Suite 172, Dallas, TX 75230-2033 | 2010-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.