Provider Type Icon

MODERN MINDS NPI 1992459044


NPI Information

NPI: 1992459044
Provider Name: MODERN MINDS
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
40 CALHOUN ST STE 240
CHARLESTON, SC
ZIP 29401
Phone: (843) 531-9036
Get Directions

MODERN MINDS is a cognitive and behavioral psychologist in Charleston, SC. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. MODERN MINDS NPI is 1992459044. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 CALHOUN ST STE 240
CHARLESTON, SC
ZIP 29401-534
Phone: (843) 531-9036
Fax: (833) 358-1254

The provider's authorized official is Heather Burgett .
The authorized official title is Director, Practice Operations and has the following contact phone number (843) 531-9036.

The enumeration date for this NPI number is 2/8/2022 and was last updated on 2/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2101YM0800XCounselorMental HealthNo
3171400000XHealth and Wellness CoachNo
4103TB0200XPsychologistCognitive & BehavioralYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000-000-0000OTHERNO OTHER NUMBERS TO DECLARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.