AGELESS MINDS LLC
NPI 1104769611
Clinical Nurse Specialist - Psychiatric/Mental Health in Indianapolis, IN
NPI Status: Active since April 10, 2026
Contact Information
9165 OTIS AVE STE 164
INDIANAPOLIS, IN
ZIP 46216
Phone: (317) 930-1557
- Organization
- Clinical Nurse Specialist
- Psychiatric/Mental Health
About AGELESS MINDS LLC
This page provides the complete NPI Profile along with additional information for Ageless Minds Llc, a provider established in Indianapolis, Indiana operating as a Clinical Nurse Specialist, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1104769611 assigned on April 2026. The practitioner's primary taxonomy code is 364SP0808X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Queela Tadoum Np (Owner)
- NPI
- 1104769611
- Provider Name
- AGELESS MINDS LLC
- Entity Type
- Organization
- Location Address
- 9165 OTIS AVE STE 164 INDIANAPOLIS, IN 46216
- Location Phone
- (317) 930-1557
- Mailing Address
- 9165 OTIS AVE STE 164 INDIANAPOLIS, IN 46216
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2026
- Last Update Date
- 04-10-2026
- Code Navigator
A Clinical Nurse Specialist (CNS) like Ageless Minds Llc is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Psychiatric/Mental Health
- Taxonomy Code
- 364SP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104769611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104769611, enumerated as an "organization" on April 10, 2026.
The provider is located at 9165 OTIS AVE STE 164 INDIANAPOLIS, IN 46216 and the phone number is (317) 930-1557.
Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.
