MINDSHIFT & WELLNESS PLLC
NPI 1598692089
Nurse Practitioner - Psychiatric/Mental Health in Southfield, MI
About Mindshift & Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDSHIFT & WELLNESS PLLC (NPI 1598692089) is a healthcare organization registered as a psychiatric/mental health in Southfield, Michigan and active in the NPI registry since May 2026. The organization lists Katrina Ivory, Co- Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindshift & Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindshift & Wellness PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Mindshift & Wellness PLLC's NPI number?
The NPI number for Mindshift & Wellness PLLC is 1598692089. It was assigned to this organization in the NPPES registry on May 7, 2026.
Where is Mindshift & Wellness PLLC located?
Mindshift & Wellness PLLC is located at 28777 Northwestern Hwy, Southfield, MI 48034. The listed phone number is (313) 645-5188.
What is Mindshift & Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindshift & Wellness PLLC enrolled in Medicare?
Yes. Mindshift & Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindshift & Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindshift & Wellness PLLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mindshift & Wellness PLLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mindshift & Wellness Pllc · NPI 1598692089
Psychiatric/Mental Health organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since May 7, 2026.
## Identity
- **NPI:** 1598692089 (Entity type: Organization)
- **Enumerated:** May 7, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Katrina Ivory, CO- OWNER
## Practice location
- **Address:** 28777 NORTHWESTERN HWY, Southfield, MI 48034
- **Phone:** (313) 645-5188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1598692089) · Data from the CMS NPPES public registry.