MYND WORKS PSYCHIATRY, PLLC


Address: 3724 Jefferson St Ste 206, Austin, TX 78731-6221
Phone: 5127396566

MYND WORKS PSYCHIATRY, PLLC (NPI# 1518591460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518591460
Entity Type Organization
Organization Name MYND WORKS PSYCHIATRY, PLLC
Practice Address 3724 Jefferson St Ste 206
Austin
TX 78731-6221
Practice Telephone 5127396566
Practice Fax Number 2546511062
Mailing Telephone 5127396566
Mailing Fax Number 2546511062
Enumeration Date 2020-03-01
Last Update Date 2020-03-01
Authorized Official Name MARY KATHLEEN BOLLES (OWNER)
Authorized Official Telephone 5127915433
Authorized Official Credential PMHNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3724 JEFFERSON ST STE 206
City AUSTIN
State TX
Zip Code 78731-6221

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1437772373 Sharon Polackal Student in an Organized Health Care Education/Training Program Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 2020-05-27
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1235699562 Catherine Kerrigan Social Worker 7514 N Mopac Expy, Suite 100, Austin, TX 78731 2019-03-22
1912474651 Austin Dental Spa, Pllc Dentist 3305 Northland Ste 515, Austin, TX 78731 2018-10-31
1982110938 Lindsey Sheppard Dietitian, Registered 7000 N Mopac Expy, Suite 200, Austin, TX 78731 2017-12-28
1144746066 Sarah Cotton Occupational Therapist 3520 Executive Center Drive, Suite 128, Austin, TX 78731 2017-08-22
1699299792 Avoia Mia Tapia Physical Therapist 3721 Executive Center Drive, Suite 201, Austin, TX 78731 2017-07-31
1265889745 Home Focus Aba Behavioral Analyst 6804 Capital of Tx Hwy N 412, Austin, TX 78731 2016-05-16
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184231805 Tihana Sladic Nurse Practitioner 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 2020-09-27
1376158261 Kelly Witte Nurse Practitioner 501 Hearn Street, Austin, TX 78703 2020-09-09
1609494251 Nandita Sarkar Nurse Practitioner 12804 Partridge Bend Dr, Austin, TX 78729-7385 2020-07-09
1295360477 Linda Dawn Dao Nurse Practitioner 1715 S Capital of Texas Hwy Ste 205, Austin, TX 78746-6561 2020-03-07
1447726377 Alysse Rochelle Craft Nurse Practitioner 5339 N Interstate 35 Ste 100, Austin, TX 78723-2558 2018-10-18
1033691746 Malcolm Duncan Nurse Practitioner 7005 Mira Loma Ln Ste 101, Austin, TX 78723-1411 2018-08-30
1003396391 Kimberly Bridzeke Staton Nurse Practitioner 1201 E 7th St Ste 620, Austin, TX 78702-3222 2018-08-16
1598201972 Jeffrey Wright Bayless Nurse Practitioner 4600 Monterey Oaks Blvd, Apt 2211, Austin, TX 78749-4300 2017-01-10
1316491368 Ryann Rathbone Nurse Practitioner 1600 W 38th St Ste 318, Austin, TX 78731-6406 2016-08-08
1114399169 Megan Elizabeth Deel Nurse Practitioner 4101 Guadalupe St, Austin, TX 78751-4240 2015-10-28
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Competitor

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City AUSTIN
Zip Code 78731

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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