MIND DOJO LLC
NPI 1730805763
Psychiatry & Neurology - Psychiatry in Irwin, PA
About Mind Dojo Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND DOJO LLC (NPI 1730805763) is a healthcare organization registered as a psychiatry in Irwin, Pennsylvania and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through May 15, 2027, maintains a secondary practice location in Monroeville, and lists Lauren Grawert, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Secondary Practice Location 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)
Mind Dojo Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mind Dojo LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2282030
Mind Dojo LLC · Irwin, PAFrequently 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 1730805763. It was assigned to this organization in the NPPES registry on October 12, 2022.
Where is Mind Dojo LLC located?
Mind Dojo LLC is located at 8958 Hill Dr, Irwin, PA 15642. The listed phone number is (724) 755-3022.
What is Mind Dojo LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mind Dojo LLC enrolled in Medicare?
Yes. Mind Dojo LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Dojo LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Mind Dojo LLC, in Mental Health Counselor, Nurse Practitioner and Psychiatry. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mind Dojo LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2282030) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mind Dojo LLC was last updated on April 20, 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.
# Mind Dojo Llc · NPI 1730805763
Psychiatry organization in Irwin, Pennsylvania. Organization record, active in the CMS NPPES registry since October 12, 2022.
## Identity
- **NPI:** 1730805763 (Entity type: Organization)
- **Enumerated:** October 12, 2022
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Lauren Grawert, MEDICAL DIRECTOR
## Practice location
- **Address:** 8958 HILL DR, Irwin, PA 15642-3112
- **Phone:** (724) 755-3022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (2), Nurse Practitioner (1), Psychiatry (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730805763) · Data from the CMS NPPES public registry.