MIND DOJO LLC NPI 1730805763

NPI Information

  • NPI: 1730805763
  • Provider Name: MIND DOJO LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 39D2282030
  • Address: 8958 HILL DR
    IRWIN, PA
    ZIP 15642
  • Phone: (724) 755-3022

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NPI Details

MIND DOJO LLC is a community behavioral health in Irwin, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MIND DOJO LLC NPI is 1730805763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8958 HILL DR
IRWIN, PA
ZIP 15642-112
Phone: (724) 755-3022

The provider's authorized official is Corey Deasy .
The authorized official title is Founding Partner and has the following contact phone number (724) 755-3922.

The CLIA number assigned to this NPI record is 39D2282030 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2022 and was last updated on 2/19/2024.

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
1103T00000XPsychologistNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4251S00000XCommunity/Behavioral HealthYes

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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