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MAGNIFICENT MINDS TELEMED
NPI 1275255309
Psychiatry & Neurology - Child & Adolescent Psychiatry in Gonzales, LA

Active since September 15, 2022
630 W CORNERVIEW ST STE B, GONZALES, LA 70737(225) 647-4105 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnificent Minds Telemed NPPES

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

MAGNIFICENT MINDS TELEMED (NPI 1275255309) is a healthcare organization registered as a child & adolescent psychiatry in Gonzales, Louisiana and active in the NPI registry since September 2022. The organization lists Demarcus Patterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1275255309
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMAGNIFICENT MINDS TELEMED
Location Address630 W CORNERVIEW ST STE BGonzales, LA 70737-2742
Mailing AddressPo Box 359Gonzales, LA 70707-0359 · (504) 915-0705
Phone(225) 647-4105
Organization SubpartNo
Authorized OfficialDemarcus PattersonOwner · (504) 908-0715
Enumeration DateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1275255309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
630 W CORNERVIEW ST STE B, Gonzales, LA 70737
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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.

DP2 ENTERPRISE LLC
Non-emergency Medical Transport (VAN)
630 W CORNERVIEW ST STE B
GONZALES, LA 70737
Ascension Parish (504) 915-0705
HARMONY BEHAVIORAL SERVICES LLC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
630 W CORNERVIEW ST STE B
GONZALES, LA 70737
Ascension Parish (225) 290-9442

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 Magnificent Minds Telemed's NPI number?

The NPI number for Magnificent Minds Telemed is 1275255309. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Magnificent Minds Telemed located?

Magnificent Minds Telemed is located at 630 W Cornerview St Ste B, Gonzales, LA 70737. The listed phone number is (225) 647-4105.

What is Magnificent Minds Telemed's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Magnificent Minds Telemed was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.