MINDFUL WELLNESS PSYCHOLOGICAL SERVICES, LLC
NPI 1346836640
Psychologist - Clinical in Amherst, OH

Active since December 21, 2020
7575 LEAVITT RD, AMHERST, OH 44001(440) 773-3032 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mindful Wellness Psychological Services, Llc NPPES

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

MINDFUL WELLNESS PSYCHOLOGICAL SERVICES, LLC (NPI 1346836640) is a healthcare organization registered as a clinical in Amherst, Ohio and active in the NPI registry since December 2020. The organization lists Evelyn Garland, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1346836640
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMINDFUL WELLNESS PSYCHOLOGICAL SERVICES, LLC
Location Address7575 LEAVITT RDAmherst, OH 44001-2701
Mailing Address1438 W 30th StLorain, OH 44052-4352 · (440) 773-7277
Organization SubpartNo
Authorized OfficialEvelyn GarlandContracting Manager · (404) 213-5329
Enumeration DateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1346836640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7575 LEAVITT RD, Amherst, OH 44001

Other Identifiers 1

Other1801124730Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Wellness Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20211103002153Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindful Wellness Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1801124730
7575 LEAVITT RD
Amherst, OH 44001
(440) 773-3032
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1346325552
145 COLUMBIA AVE
Elyria, OH 44035
(440) 371-3423
✔ PECOS✔ Accepts Medicare6.1 mi

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 Mindful Wellness Psychological Services, LLC's NPI number?

The NPI number for Mindful Wellness Psychological Services, LLC is 1346836640. It was assigned to this organization in the NPPES registry on December 21, 2020.

Where is Mindful Wellness Psychological Services, LLC located?

Mindful Wellness Psychological Services, LLC is located at 7575 Leavitt Rd, Amherst, OH 44001. The listed phone number is (440) 773-3032.

What is Mindful Wellness Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mindful Wellness Psychological Services, LLC enrolled in Medicare?

Yes. Mindful Wellness Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

When is Mindful Wellness Psychological Services, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mindful Wellness Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Mindful Wellness Psychological Services, LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindful Wellness Psychological Services, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mindful Wellness Psychological Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindful Wellness Psychological Services, LLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.