A BEAUTIFUL MIND BEHAVIORAL HEALTH NURSING PROFESSIONAL CORPORATION
NPI 1902697584
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since May 14, 2025
200 N VERMONT AVE UNIT NO340, LOS ANGELES, CA 90004(213) 840-7247 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 26, 2025, Aug 5, 2025, May 14, 2025 (3 updates tracked since 2025).

About A Beautiful Mind Behavioral Health Nursing Professional Corporation NPPES

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

A BEAUTIFUL MIND BEHAVIORAL HEALTH NURSING PROFESSIONAL CORPORATION (NPI 1902697584), doing business as A Beautiful Mind Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Los Angeles, California and active in the NPI registry since May 2025. The organization lists Faridah Mumin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902697584
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameA BEAUTIFUL MIND BEHAVIORAL HEALTH NURSING PROFESSIONAL CORPORATION
Location Address200 N VERMONT AVE UNIT NO340Los Angeles, CA 90004-4899
Mailing Address200 N Vermont Ave Unit No340Los Angeles, CA 90004-4899 · (213) 840-7247
Organization SubpartNo
Authorized OfficialFaridah MuminCeo · (213) 840-7247
Enumeration DateMay 14, 2025
Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1902697584 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
200 N VERMONT AVE UNIT NO340, Los Angeles, CA 90004

Other Names 2

Doing Business AsA Beautiful Mind Behavioral Health
Doing Business AsBeautified Iv Med Spa

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Beautiful Mind Behavioral Health Nursing Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to A Beautiful Mind Behavioral Health Nursing Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1710412432
12400 HIGH BLUFF DR
San Diego, CA 92130
(832) 453-0704
✔ PECOS99 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 A Beautiful Mind Behavioral Health Nursing Professional Corporation's NPI number?

The NPI number for A Beautiful Mind Behavioral Health Nursing Professional Corporation is 1902697584. It was assigned to this organization in the NPPES registry on May 14, 2025. The provider is doing business as A Beautiful Mind Behavioral Health and Beautified iv med spa.

Where is A Beautiful Mind Behavioral Health Nursing Professional Corporation located?

A Beautiful Mind Behavioral Health Nursing Professional Corporation is located at 200 N Vermont Ave Unit No340, Los Angeles, CA 90004. The listed phone number is (213) 840-7247.

What is A Beautiful Mind Behavioral Health Nursing Professional Corporation's specialty?

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

Is A Beautiful Mind Behavioral Health Nursing Professional Corporation enrolled in Medicare?

Yes. A Beautiful Mind Behavioral Health Nursing Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Beautiful Mind Behavioral Health Nursing Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to A Beautiful Mind Behavioral Health Nursing Professional Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for A Beautiful Mind Behavioral Health Nursing Professional Corporation was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.