INNOVATED MIND – NPI #1932818051
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

INNOVATED MIND is a psychiatry & neurologist located in AVONDALE, AZ. NPPES has assigned the NPI number 1932818051 to INNOVATED MIND on November 17, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

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 INNOVATED MIND below.

NPI Profile for
INNOVATED MIND

NPI Number
1932818051
Enumeration Date

(more than 3 years 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
INNOVATED MIND
Other name(s)
All associated names:
Doing Business As (dba)
Innovated mind
Other Name
Innovated mind
Primary location
12175 MCDOWELL RD
1218
AVONDALE, AZ 85392
Phone: (832) 866-5726 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KETURA JAMES
OWNER
Phone: (832) 866-5726
Updated
Certification Date
Nov 17, 2022

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
2084N0400X
- Psychiatry & Neurology / Neurology (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.