MIND DOJO LLC
NPI 1700596145
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

NPI Status: Active since November 28, 2022

Contact Information

600 W BROADWAY STE 700
SAN DIEGO, CA
ZIP 92101
Phone: (951) 477-7745

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MIND DOJO LLC

This page provides the complete NPI Profile along with additional information for Mind Dojo Llc, a provider established in San Diego, California operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1700596145 assigned on November 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Devaughn Davis (Owner)

NPI
1700596145
Provider Name
MIND DOJO LLC
Entity Type
Organization
Location Address
600 W BROADWAY STE 700 SAN DIEGO, CA 92101
Location Phone
(951) 477-7745
Mailing Address
600 W BROADWAY STE 700 SAN DIEGO, CA 92101
Mailing Phone
(951) 477-7745
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2022
Last Update Date
11-28-2022
Code Navigator

A nurse practitioner (NP) like Mind Dojo Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEVAUGHN DAVIS

Authorized Official Title
OWNER
Authorized Official Phone
(951) 477-7745

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700596145
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001091218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 0 + 9 + 1 + 2 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1700596145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

ANDREW KAMINSKY NP

Nurse Practitioner

(Psychiatric/Mental Health)

600 W BROADWAY STE 700
SAN DIEGO, CA
ZIP 92101

(877) 936-2873

DAVE AULUCK MD PC

Psychiatry & Neurology

(Psychiatry)

600 W BROADWAY STE 700
SAN DIEGO, CA
ZIP 92101

(877) 936-2873

REACH HEALTHCARE

Doula

600 W BROADWAY STE 700
SAN DIEGO, CA
ZIP 92101

(619) 800-6443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700596145, enumerated as an "organization" on November 28, 2022.

The provider is located at 600 W BROADWAY STE 700 SAN DIEGO, CA 92101 and the phone number is (951) 477-7745.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.