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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MACNIFICENT MINDS
NPI 1073497574
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since August 05, 2025
4333 VILLAGE TRACE CT, INDIANAPOLIS, IN 46254(463) 363-1212(559) 238-0478 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Mar 26, 2026, Mar 18, 2026 and 1 more (4 updates tracked since 2025).

About Macnificent Minds NPPES

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

MACNIFICENT MINDS (NPI 1073497574) is a healthcare organization registered as a psychiatric/mental health in Indianapolis, Indiana and active in the NPI registry since August 2025. The organization lists Ashlee Mack, Np, as its authorized official.

NPPES Registry Identity

NPI1073497574
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMACNIFICENT MINDS
Location Address4333 VILLAGE TRACE CTIndianapolis, IN 46254-6232
Mailing Address3410 N High School Rd Ste GIndianapolis, IN 46224-1100 · (463) 222-9605 · Fax (317) 342-8372
Phone(463) 363-1212
Fax(559) 238-0478
Organization SubpartNo
Authorized OfficialAshlee MackNp · (463) 222-9605
Enumeration DateAugust 5, 2025
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1073497574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4333 VILLAGE TRACE CT, Indianapolis, IN 46254
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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 Macnificent Minds's NPI number?

The NPI number for Macnificent Minds is 1073497574. It was assigned to this organization in the NPPES registry on August 5, 2025.

Where is Macnificent Minds located?

Macnificent Minds is located at 4333 Village Trace Ct, Indianapolis, IN 46254. The listed phone number is (463) 363-1212.

What is Macnificent Minds'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 Macnificent Minds was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.