MENDING MINDS (NPI# 1902195464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902195464 |
| Entity Type | Organization |
| Organization Name | MENDING MINDS |
| Practice Address |
24 Spring Valley Rd East Longmeadow MA 01028-2513 |
| Practice Telephone | 4135303273 |
| Mailing Telephone | 4135303273 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MS. LAURIE KIMBALL (PRESIDENT) |
| Authorized Official Telephone | 4135303273 |
| Authorized Official Credential | APRN NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
195411 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MBHP | 020874 | 01 | |
| MA | MEDICARE PTAN | 000767402 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MENDING MINDS LLC | 309 Court Ave., Suite 241 5th Floor, Des Moines, IA 50309 |
| New York State Corporations | MENDING MINDS LLC | 8 Van Terrace, Sparkill, Ny 10976 |
| Oregon Corporations, Companies and Business Names | MENDING MINDS MOBILE SERVICE LLC | 1818 Ne Mlk Jr Blvd, Ste C, Portland, OR 97212 |
| Alabama Business Registrations | Mending Minds Nonprofit Corporation | 623 Dunbar Court, Bessemer, AL 35020 |
| Street Address |
24 SPRING VALLEY RD |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 01028-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142509 | Golden Years Behavioral Health Group Inc. | Counselor | 16 Shaker Road, East Longmeadow, MA 01028 | 2020-04-15 |
| 1821518747 | Taylor Kirk | Social Worker | 138 Hampden Road, East Longmeadow, MA 01028 | 2017-06-21 |
| 1770039174 | Rebecca Bailey | Physician Assistant | 305a Maple Street, East Longmeadow, MA 01028 | 2016-08-26 |
| 1609261650 | New England Dental Care | Dentist | 132 Canterbury Circle, East Longmeadow, MA 01028 | 2015-04-06 |
| 1629394168 | Angela C Lamothe | Massage Therapist | 80 Center Square, East Longmeadow, MA 01028 | 2010-04-08 |
| 1588807648 | Maria De La Alhambra Gurd | Counselor | 294 N Main St Ste 101, East Longmeadow, MA 01028 | 2009-04-19 |
| 1861522302 | Arthur T Mcguire | Internal Medicine | 160 Pleasant St #307, Gastroenterology Assoc of Springfield, East Longmeadow, MA 01028 | 2007-03-06 |
| 1194874545 | Drs Scannell and Hollinger Inc | Dentist | 79 Maple Street, East Longmeadow, MA 01028 | 2007-01-08 |
| 1053468629 | Gina M Quinlivan | Advanced Practice Midwife | 382 N Main St Ste 205, East Longmeadow, MA 01028 | 2007-01-04 |
| 1609939784 | Belisa Ann Basile | Optometrist | 8 Center Square, E Longmeadow, MA 01028 | 2006-12-19 |
| Find all providers in zip 01028 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780662809 | Laurie A Kimball | Clinic/Center | 264 N Main St, Ste 7, East Longmeadow, MA 01028-1815 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079729 | Inner Resources Counseling, PC | Clinic/Center | 74 Atlantic Ave, Marblehead, MA 01945-3066 | 2020-10-02 |
| 1255947701 | Women's Wellness Initiative | Clinic/Center | 127 South St Unit 2249, Plainville, MA 02762-7728 | 2020-09-21 |
| 1124633441 | Illusions of Samsara | Clinic/Center | 353 Sea St Apt 5, Quincy, MA 02169-2722 | 2020-09-14 |
| 1053925420 | Elizabeth Klish, Psyd, LLC | Clinic/Center | 9 Euclid Cir, Natick, MA 01760-1923 | 2020-09-03 |
| 1316565005 | Mds Counseling Services, LLC | Clinic/Center | 186 Alewife Brook Pkwy # 1019, Cambridge, MA 02138-1121 | 2020-07-08 |
| 1184240152 | Havins Psychological Services, LLC | Clinic/Center | 18 Kingman St, Weymouth, MA 02188-2209 | 2020-06-24 |
| 1700402906 | Elizabeth Barr Licsw LLC | Clinic/Center | 4 Crestwood Dr, Blackstone, MA 01504-1108 | 2020-06-23 |
| 1780200352 | Tammy B. Bringaze Phd Pllc | Clinic/Center | 199 Main St Ste 3, Northampton, MA 01060-3151 | 2020-06-19 |
| 1598387235 | E E Barch Psyd LLC | Clinic/Center | 10 Navarro Cir, Medford, MA 02155-2048 | 2020-05-16 |
| 1346875069 | Michael D Schreiber Np PC | Clinic/Center | 1180 Beacon St Ste 4c, Brookline, MA 02446-3806 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
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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.