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MIND AND SOUL PSYCHIATRY
NPI 1053044701
Nurse Practitioner - Psychiatric/Mental Health in Idaho Springs, CO

Active since July 08, 2022
2505 MINER ST, IDAHO SPRINGS, CO 80452(720) 587-9702 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2022, Jul 8, 2022 (2 updates tracked since 2022).

About Mind And Soul Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND AND SOUL PSYCHIATRY (NPI 1053044701) is a healthcare organization registered as a psychiatric/mental health in Idaho Springs, Colorado and active in the NPI registry since July 2022. The organization lists Jennifer Medina, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1053044701
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND AND SOUL PSYCHIATRY
Location Address2505 MINER STIdaho Springs, CO 80452-5112
Mailing Address2505 Miner St # 1926Idaho Springs, CO 80452-5112 · (720) 587-9702
Phone(720) 587-9702
Organization SubpartNo
Authorized OfficialJennifer MedinaPmhnp-bc · (720) 587-9702
Enumeration DateJuly 8, 2022
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1053044701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2505 MINER ST, Idaho Springs, CO 80452
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind And Soul Psychiatry's NPI number?

The NPI number for Mind And Soul Psychiatry is 1053044701. It was assigned to this organization in the NPPES registry on July 8, 2022.

Where is Mind And Soul Psychiatry located?

Mind And Soul Psychiatry is located at 2505 Miner St, Idaho Springs, CO 80452. The listed phone number is (720) 587-9702.

What is Mind And Soul Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mind And Soul Psychiatry was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.