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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3724 JEFFERSON ST STE 206 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 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 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 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 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| 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 |
| Find all providers in AUSTIN | ||||
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| 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.