MINDFUL MOOD PSYCHIATRY, PLLC – NPI #1811799398
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

MINDFUL MOOD PSYCHIATRY, PLLC is an AHC clinic located in REXBURG, ID. NPPES has assigned the NPI number 1811799398 to MINDFUL MOOD PSYCHIATRY, PLLC on March 26, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was last updated on Mar 31, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINDFUL MOOD PSYCHIATRY, PLLC below.

NPI Profile for
MINDFUL MOOD PSYCHIATRY, PLLC

NPI Number
1811799398
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINDFUL MOOD PSYCHIATRY, PLLC
Primary location
534 TREJO STREET
SUITE 100
REXBURG, ID 83440
Phone: (208) 206-7066 Fax:
Mailing address
1846 1ST ST # 1031
IDAHO FALLS, ID 83401-4415
Phone: Fax:
Organization Subpart
No
Authorized Official
MICHELLE ANDRUS
PMHNP
Phone: (208) 557-9572
Updated
Certification Date
Mar 31, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.