MIND SHIFT WELLNESS CLINIC LLC
NPI 1063351815
Nurse Practitioner in Milford, MA

Q: What is Mind Shift Wellness Clinic LLC's NPI number?

The NPI number for Mind Shift Wellness Clinic LLC is 1063351815. It was assigned to this organization in the NPPES registry on March 26, 2026.

Q: What is Mind Shift Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 26, 2026

31 GRANITE ST STE 2, MILFORD, MA 01757(508) 933-1804 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mind Shift Wellness Clinic Llc NPPES

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

MIND SHIFT WELLNESS CLINIC LLC (NPI 1063351815) is a healthcare organization registered as a nurse practitioner in Milford, Massachusetts and active in the NPI registry since March 2026. The organization lists Kenneth Mutegyeki, Director, as its authorized official.

NPPES Registry Identity

NPI1063351815

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMIND SHIFT WELLNESS CLINIC LLC

Location Address31 GRANITE ST STE 2Milford, MA 01757-1695

Mailing Address31 Granite St Ste 2Milford, MA 01757-1695 · (508) 306-1128

Phone(508) 933-1804

Organization SubpartNo

Authorized OfficialKenneth MutegyekiDirector · (508) 306-1128

Enumeration DateMarch 26, 2026

NPPES CertifiedMarch 26, 2026

✔ NPI 1063351815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

31 GRANITE ST STE 2, Milford, MA 01757

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Shift Wellness Clinic LLC's NPI number?

The NPI number for Mind Shift Wellness Clinic LLC is 1063351815. It was assigned to this organization in the NPPES registry on March 26, 2026.

Where is Mind Shift Wellness Clinic LLC located?

Mind Shift Wellness Clinic LLC is located at 31 Granite St Ste 2, Milford, MA 01757. The listed phone number is (508) 933-1804.

What is Mind Shift Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mind Shift Wellness Clinic LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.