MIND CLINIC INC (NPI# 1699973628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699973628 |
| Entity Type | Organization |
| Organization Name | MIND CLINIC INC |
| Practice Address |
10238 E Hampton Ave Suite 205 Mesa AZ 85209-3316 |
| Mailing Address |
Po Box 8323 Scottsdale AZ 85252-8323 |
| Practice Telephone | 4803546463 |
| Practice Fax Number | 4803546480 |
| Mailing Telephone | 4803546463 |
| Mailing Fax Number | 4803546480 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | YASIR S SHAREEF (PRESICENT) |
| Authorized Official Telephone | 4803546463 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4446 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CORPORATION NUMBER | 1376151-0 | 01 |
| Street Address |
10238 E HAMPTON AVE SUITE 205 |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494551 | Santina Carminati Taddei | Internal Medicine | 10238 E Hampton Ave, Suite 305, Mesa, AZ 85209-3316 | 2005-08-11 |
| 1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
| 1154874790 | Carissa Noriega | Nurse Practitioner | 10238 E Hampton Ave, #507, Mesa, AZ 85209-3316 | 2016-08-01 |
| 1336500198 | Mountain Vista Medical Group Pllc | Specialist | 10238 E Hampton Ave, Suite 205, Mesa, AZ 85209 | 2016-03-08 |
| 1750789079 | Jasmine Turner | Nurse Practitioner | 10238 E Hampton Ave, 508, Mesa, AZ 85209-3316 | 2014-12-18 |
| 1881012144 | Arizona Hospital Specialists, Pllc | Family Medicine | 10238 E Hampton Ave, 205, Mesa, AZ 85209-3316 | 2014-04-03 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| 1134473838 | East Valley Medical Group, Inc. | General Practice | 10238 E Hampton Ave, Suite 212, Mesa, AZ 85209-3316 | 2012-11-01 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
| 1265716344 | Jaclyn Bacon | Nurse Practitioner | 10238 E Hampton Ave, Suite 202, Mesa, AZ 85209-3316 | 2011-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073573 | William Wagner Md PC | Psychiatry & Neurology | 4135 S Power Rd Ste 120, Mesa, AZ 85212-3626 | 2011-07-28 |
| 1144480682 | Win Toe | Psychiatry & Neurology | 6553 E Baywood Ave Ste 212, 2nd Floor, Mesa, AZ 85206-1754 | 2008-06-09 |
| 1063479707 | Julius Ray Charlie | Psychiatry & Neurology | 6944 E Broadway Rd, Mesa, AZ 85208-1916 | 2006-04-27 |
| 1053309245 | Gilbert J. Toffol, D.o., Pllc | Psychiatry & Neurology | 1134 E University Dr, Ste 114, Mesa, AZ 85203-8027 | 2005-10-11 |
| 1699771600 | David Charles Marzulo | Psychiatry & Neurology | 1919 E Mckellips Rd, Ste 102, Mesa, AZ 85203-2844 | 2005-06-23 |
| 1669095394 | Tonto Tech LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1124641857 | Pine Monitoring LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1043728801 | Advanced Iom Specialists, LLC | Psychiatry & Neurology | 2535 W Plata Ave, Mesa, AZ 85202-7860 | 2018-01-15 |
| 1184135980 | Iom Technologist Rem LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-19 |
| 1801307814 | Intraoperative Neurology Preventative Services LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-17 |
| Find all providers in MESA | ||||
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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.