MINDWELL COLLECTIVE
NPI 1275497224
Clinic/Center - Adult Mental Health in San Diego, CA
About Mindwell Collective NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDWELL COLLECTIVE (NPI 1275497224) is a healthcare organization registered as an adult mental health in San Diego, California and active in the NPI registry since December 2025. The organization lists Amin Gholami, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindwell Collective is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindwell Collective, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mindwell Collective's NPI number?
The NPI number for Mindwell Collective is 1275497224. It was assigned to this organization in the NPPES registry on December 15, 2025.
Where is Mindwell Collective located?
Mindwell Collective is located at 12625 High Bluff Dr Ste 103, San Diego, CA 92130. The listed phone number is (858) 877-1860.
What is Mindwell Collective's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Mindwell Collective enrolled in Medicare?
Yes. Mindwell Collective is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindwell Collective?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mindwell Collective. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mindwell Collective was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Mindwell Collective · NPI 1275497224
Adult Mental Health organization in San Diego, California. Organization record, active in the CMS NPPES registry since December 15, 2025.
## Identity
- **NPI:** 1275497224 (Entity type: Organization)
- **Enumerated:** December 15, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Amin Gholami, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 12625 HIGH BLUFF DR STE 103, San Diego, CA 92130-2053
- **Phone:** (858) 877-1860 · **Fax:** (855) 554-1110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275497224) · Data from the CMS NPPES public registry.