WISEMIND WELLNESS LLC NPI 1265025050

NPI Information

  • NPI: 1265025050
  • Provider Name: WISEMIND WELLNESS, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 20 E THOMAS RD STE 2200
    PHOENIX, AZ
    ZIP 85012
  • Phone: (541) 990-2613

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NPI Details

WISEMIND WELLNESS, LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. WISEMIND WELLNESS, LLC NPI is 1265025050. The provider is registered as an organization entity type.

The provider's business location address is:

20 E THOMAS RD STE 2200
PHOENIX, AZ
ZIP 85012-133
Phone: (541) 990-2613

The provider's authorized official is Nathan Dingeldein .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (541) 990-2613.

The enumeration date for this NPI number is 2/12/2021 and was last updated on 4/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1632705MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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