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MIND TO MINDFUL
NPI 1063979839
Psychologist - Group Psychotherapy in Granite Bay, CA

Active since February 27, 2019
4190 DOUGLAS BLVD STE 300, GRANITE BAY, CA 95746(517) 759-5551 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2019, Feb 27, 2019 (2 updates tracked since 2019).

About Mind To Mindful NPPES

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

MIND TO MINDFUL (NPI 1063979839) is a healthcare organization registered as a group psychotherapy in Granite Bay, California and active in the NPI registry since February 2019. The organization lists Douglas W Wood, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1063979839
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NameMIND TO MINDFUL
Location Address4190 DOUGLAS BLVD STE 300Granite Bay, CA 95746-5918
Mailing AddressPo Box 242Tecumseh, MI 49286-0242 · (517) 759-5551
Phone(517) 759-5551
Organization SubpartNo
Authorized OfficialDouglas W WoodOperations Director · (517) 759-5551
Enumeration DateFebruary 27, 2019
Last NPPES UpdateMarch 4, 20192 updates tracked since enumeration
✔ NPI 1063979839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
4190 DOUGLAS BLVD STE 300, Granite Bay, CA 95746
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JZEELA GHEISAR-SHAHABIAN MA, LMFT
Marriage & Family Therapist
4190 DOUGLAS BLVD STE 300
ROSEVILLE, CA 95746
Placer County (916) 520-6303
DELINDA ROSE SAMP LMFT 110181
Marriage & Family Therapist
4190 DOUGLAS BLVD STE 300
ROSEVILLE, CA 95746
Placer County (916) 945-2803

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 To Mindful's NPI number?

The NPI number for Mind To Mindful is 1063979839. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Mind To Mindful located?

Mind To Mindful is located at 4190 Douglas Blvd Ste 300, Granite Bay, CA 95746. The listed phone number is (517) 759-5551.

What is Mind To Mindful's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Mind To Mindful was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.