MIND AND SOUL PSYCHIATRY
NPI 1053044701
Nurse Practitioner - Psychiatric/Mental Health in Idaho Springs, CO
Active since July 08, 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
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
The NPI number assigned to this healthcare provider is 1053044701, enumerated as an "organization" on July 08, 2022.
The provider is located at 2505 MINER ST IDAHO SPRINGS, CO 80452 and the phone number is (720) 587-9702.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
