I AM MIND & BODY WELLNESS CENTER, PLLC (NPI# 1841790722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841790722 |
| Entity Type | Organization |
| Organization Name | I AM MIND & BODY WELLNESS CENTER, PLLC |
| Practice Address |
901 Ne Loop 410 Ste 508 San Antonio TX 78209-1306 |
| Practice Telephone | 2102539763 |
| Practice Fax Number | 2102551681 |
| Mailing Telephone | 2102539763 |
| Mailing Fax Number | 2102551681 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | DR. SUSAN C. MENGDEN (OWNER) |
| Authorized Official Telephone | 2108275055 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 25013 | TX | Behavioral Health & Social Service Providers |
| Street Address |
901 NE LOOP 410 STE 508 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167829 | Life Balance Nutrition LLC | Dietitian, Registered | 901 Ne Loop 410 Ste 508, San Antonio, TX 78209-1306 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896947 | Jessica Graber | Psychologist | 600 N Loop 1604 E, San Antonio, TX 78232-1268 | 2020-03-17 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1275099509 | South Texas Behavioral Group, LLC | Psychologist | 403 S Ww White Rd Ste 218, San Antonio, TX 78219-4249 | 2019-02-12 |
| 1629550298 | Rebecca Stuth Specia | Psychologist | 3031 Knight Robin Dr, San Antonio, TX 78209-3510 | 2018-08-30 |
| 1689179731 | Erica Rosentraub Shapiro | Psychologist | 1314 E. Sonterra Blvd. Ste. 2208, San Antonio, TX 78258 | 2018-03-29 |
| 1841791845 | Vanessa Tugonon Chan | Psychologist | 7403 Tom Kite Ct, San Antonio, TX 78244-1586 | 2018-02-24 |
| 1194236760 | Offices of Michael A Roman Phd | Psychologist | 4242 Medical Dr Ste 6150, San Antonio, TX 78229-5369 | 2017-10-23 |
| 1548785918 | Elizabeth A Toth | Psychologist | 9926 Tezel Rd, San Antonio, TX 78254-5520 | 2017-08-07 |
| 1851813323 | Stephanie Triana, Ph.d. LLC | Psychologist | 1848 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1566 | 2017-07-16 |
| 1538607304 | Judi Arkangel | Psychologist | 24538 Buck Crk, San Antonio, TX 78255-2250 | 2017-02-01 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.