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EMBODIED MIND MEDICINE
NPI 1366109795
Clinic/Center - Adult Mental Health in Cambridge, MA

Active since November 19, 2021
263 CONCORD AVE APT 2C, CAMBRIDGE, MA 02138(617) 902-0454 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Embodied Mind Medicine NPPES

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

EMBODIED MIND MEDICINE (NPI 1366109795) is a healthcare organization registered as an adult mental health in Cambridge, Massachusetts and active in the NPI registry since November 2021. The organization lists Rheinila Fernandes, Psyhiatrist, as its authorized official.

NPPES Registry Identity

NPI1366109795
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEMBODIED MIND MEDICINE
Location Address263 CONCORD AVE APT 2CCambridge, MA 02138-1398
Mailing Address263 Concord Ave Apt 2cCambridge, MA 02138-1398
Phone(617) 902-0454
Organization SubpartNo
Authorized OfficialRheinila FernandesPsyhiatrist · (617) 902-0454
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1366109795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
263 CONCORD AVE APT 2C, Cambridge, MA 02138
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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 Embodied Mind Medicine's NPI number?

The NPI number for Embodied Mind Medicine is 1366109795. It was assigned to this organization in the NPPES registry on November 19, 2021.

Where is Embodied Mind Medicine located?

Embodied Mind Medicine is located at 263 Concord Ave Apt 2C, Cambridge, MA 02138. The listed phone number is (617) 902-0454.

What is Embodied Mind Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Embodied Mind Medicine was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.