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

Q: What is Mind Dojo LLC's NPI number?

The NPI number for Mind Dojo LLC is 1700596145. It was assigned to this organization in the NPPES registry on November 28, 2022.

Q: What is Mind Dojo LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mind Dojo LLC was last updated on November 28, 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.

Active since November 28, 2022

600 W BROADWAY STE 700, SAN DIEGO, CA 92101(951) 477-7745 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mind Dojo Llc NPPES

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

MIND DOJO LLC (NPI 1700596145) is a healthcare organization registered as a psychiatric/mental health in San Diego, California and active in the NPI registry since November 2022. The organization lists Devaughn Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1700596145

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND DOJO LLC

Location Address600 W BROADWAY STE 700San Diego, CA 92101-3370

Mailing Address600 W Broadway Ste 700San Diego, CA 92101-3370 · (951) 477-7745

Phone(951) 477-7745

Organization SubpartNo

Authorized OfficialDevaughn DavisOwner · (951) 477-7745

Enumeration DateNovember 28, 2022

NPPES CertifiedNovember 27, 2022

✔ NPI 1700596145 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

600 W BROADWAY STE 700, San Diego, CA 92101

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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.

ANDREW KAMINSKY NP

Nurse Practitioner (Psychiatric/Mental Health)

600 W BROADWAY STE 700
SAN DIEGO, CA 92101

San Diego County (877) 936-2873

DAVE AULUCK MD PC

Psychiatry & Neurology (Psychiatry)

600 W BROADWAY STE 700
SAN DIEGO, CA 92101

San Diego County (877) 936-2873

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 Mind Dojo LLC's NPI number?

The NPI number for Mind Dojo LLC is 1700596145. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Mind Dojo LLC located?

Mind Dojo LLC is located at 600 W Broadway Ste 700, San Diego, CA 92101. The listed phone number is (951) 477-7745.

What is Mind Dojo 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 Mind Dojo LLC was last updated on November 28, 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.