Provider Demographics
NPI:1417784661
Name:MINDCARE SOLUTIONS PC
Entity type:Organization
Organization Name:MINDCARE SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP OF REVENUE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-536-3746
Mailing Address - Street 1:4031 ASPEN GROVE DR STE 390
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3118
Mailing Address - Country:US
Mailing Address - Phone:330-319-4240
Mailing Address - Fax:
Practice Address - Street 1:3815 RIVER CORSSING PARKWAY
Practice Address - Street 2:STE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240
Practice Address - Country:US
Practice Address - Phone:330-319-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty