MIND BODY OPTIMIZATION ONLINE LLC NPI 1548069859

NPI Information

  • NPI: 1548069859
  • Provider Name: MIND BODY OPTIMIZATION ONLINE, LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 5405 W 151ST ST
    LEAWOOD, KS
    ZIP 66224
  • Phone: (682) 900-6631

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NPI Details

MIND BODY OPTIMIZATION ONLINE, LLC is a psychiatry psychiatry neurology in Leawood, KS. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MIND BODY OPTIMIZATION ONLINE, LLC NPI is 1548069859. The provider is registered as an organization entity type.

The provider's business location address is:

5405 W 151ST ST
LEAWOOD, KS
ZIP 66224-700
Phone: (682) 900-6631
Fax: (682) 503-7428

The provider's authorized official is David J Moraine .
The authorized official title is Legal Counsel and has the following contact phone number (469) 990-3626.

The enumeration date for this NPI number is 3/10/2025 and was last updated on 11/24/2025.

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)No
22084P0800XPsychiatry & NeurologyPsychiatryYes

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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