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MIND-BODY WELLNESS CENTER
NPI 1124083928
Clinic/Center - Multi-Specialty in Meadville, PA

Active since April 18, 2006CLIA 39D1079650 · Accreditation
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335(814) 333-5060(814) 333-5067 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Oct 14, 2016 (2 updates tracked since 2016).

About Mind-body Wellness Center NPPES

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

MIND-BODY WELLNESS CENTER (NPI 1124083928) is a healthcare organization registered as a multi-specialty in Meadville, Pennsylvania and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through July 22, 2027 and lists Renato Suntay, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124083928
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEADVILLE MEDICAL CENTER
Location Address18201 CONNEAUT LAKE RDMeadville, PA 16335-3757
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 333-5060 · Fax (814) 333-5067
Phone(814) 333-5060
Fax(814) 333-5067
Organization SubpartYes
Authorized OfficialRenato SuntayCeo · (814) 333-5031
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1124083928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 02218 (PA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License DN000047 (PA), DN001984 (PA)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
18201 CONNEAUT LAKE RD, Meadville, PA 16335
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Other Names 1

Other NameMind-body Wellness Center

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 39D1079650

Meadville Medical Center Conneaut Lake Road Laboratory · Meadville, PA
Active · expires Jul 22, 2027
CLIA Number39D1079650
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorDr. David Azar
Laboratory Phone(814) 333-5516
Laboratory LocationMeadville Medical Center Conneaut Lake Road Laboratory16792 Conneaut Lake Road, Meadville, PA 16335
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

MS. KATHLEEN S. BERKEY M.A., M.S.
Psychologist (Clinical)
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5060
TAYLOR MARIE SHANK PH.D.
Psychologist
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5061
JESSICA U THORPE LCSW
Social Worker (Clinical)
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5061
MR. LARRY SCOTT DICKSON MA
Counselor (Professional)
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5061
STEFANIE ARBLASTER RD
Dietitian, Registered
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5061
MRS. HOPE M. THOMAS LCSW
Social Worker (Clinical)
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5060
KATHRYN WISNIEWSKI LPC
Counselor (Mental Health)
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5060
MELA LOUISE CALOMINO MSW,LSW
Social Worker (Clinical)
18201 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Crawford County (814) 333-5061

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 Meadville Medical Center's NPI number?

The NPI number for Meadville Medical Center is 1124083928. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is also known as Mind-Body Wellness Center.

Where is Meadville Medical Center located?

Meadville Medical Center is located at 18201 Conneaut Lake Rd, Meadville, PA 16335. The listed phone number is (814) 333-5060.

What is Meadville Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Meadville Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 39D1079650) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meadville Medical Center was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.