MAVERICK MIND PLLC
NPI 1699488924
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO

Active since January 02, 2023
1401 N ELIZABETH ST STE B2, PUEBLO, CO 81003(719) 988-3843 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2026, Nov 18, 2025, Jun 4, 2024 and 1 more (4 updates tracked since 2023).

About Maverick Mind Pllc NPPES

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

MAVERICK MIND PLLC (NPI 1699488924) is a healthcare organization registered as a psychiatric/mental health in Pueblo, Colorado and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Lakewood and lists Joelle Josephina Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1699488924
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMAVERICK MIND PLLC
Location Address1401 N ELIZABETH ST STE B2Pueblo, CO 81003-2158
Mailing Address13395 Voyager Pkwy Ste 130Colorado Springs, CO 80921-7677
Organization SubpartNo
Authorized OfficialJoelle Josephina BaileyOwner · (719) 988-3843
Enumeration DateJanuary 2, 2023
Last NPPES UpdateFebruary 7, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
NPI 1699488924 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
1401 N ELIZABETH ST STE B2, Pueblo, CO 81003

Secondary Practice Location 1

Location 112567 W Cedar Dr Ste 100Lakewood, CO 80228-2041 · Phone (719) 988-3843

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1401 N ELIZABETH ST STE B2
PUEBLO, CO 81003

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 Maverick Mind PLLC's NPI number?

The NPI number for Maverick Mind PLLC is 1699488924. It was assigned to this organization in the NPPES registry on January 2, 2023.

Where is Maverick Mind PLLC located?

Maverick Mind PLLC is located at 1401 N Elizabeth St Ste B2, Pueblo, CO 81003. The listed phone number is (719) 988-3843.

What is Maverick Mind PLLC'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 Maverick Mind PLLC was last updated on February 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.