BODY AND MIND HEALTHCARE SERVICES LLC
NPI 1649992652
Nurse Practitioner - Psychiatric/Mental Health in Clovis, CA

Q: What is Body And Mind Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 15, 2022

1085 SANDERS AVE, CLOVIS, CA 93619(408) 449-6623(320) 238-7625 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Body And Mind Healthcare Services Llc NPPES

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

BODY AND MIND HEALTHCARE SERVICES LLC (NPI 1649992652) is a healthcare organization registered as a psychiatric/mental health in Clovis, California and active in the NPI registry since September 2022. The organization lists Marcel Fomotar, Owner, as its authorized official.

NPPES Registry Identity

NPI1649992652

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBODY AND MIND HEALTHCARE SERVICES LLC

Location Address1085 SANDERS AVEClovis, CA 93619-3935

Mailing Address1085 Sanders AveClovis, CA 93619-3935 · (408) 449-6623 · Fax (320) 238-7625

Phone(408) 449-6623

Fax(320) 238-7625

Organization SubpartNo

Authorized OfficialMarcel FomotarOwner · (408) 449-6623

Enumeration DateSeptember 15, 2022

NPPES CertifiedSeptember 15, 2022

✔ NPI 1649992652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1085 SANDERS AVE, Clovis, CA 93619

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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

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.

MARCEL FOMOTAR CRNP-PMH

Nurse Practitioner (Psychiatric/Mental Health)

1085 SANDERS AVE
CLOVIS, CA 93619

Fresno County (408) 449-6623

BODY AND MIND HEALTHCARE SERVICES - A NURSING CORPORATION

Nurse Practitioner (Psychiatric/Mental Health)

1085 SANDERS AVE
CLOVIS, CA 93619

Fresno County (408) 449-6623

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 Body And Mind Healthcare Services LLC's NPI number?

The NPI number for Body And Mind Healthcare Services LLC is 1649992652. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Body And Mind Healthcare Services LLC located?

Body And Mind Healthcare Services LLC is located at 1085 Sanders Ave, Clovis, CA 93619. The listed phone number is (408) 449-6623.

What is Body And Mind Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Body And Mind Healthcare Services LLC 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.