| Mind Matters Medical Llc | |
|
7901 Schatz Pointe Dr Ste A Centerville OH 45459-3824 | |
| (937) 438-9841 | |
| (937) 438-9851 |
| Full Name | Mind Matters Medical Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7901 Schatz Pointe Dr Ste A, Centerville, Ohio |
| Authorized Official Name and Position | Ariz Anklesaria (OWNER) |
| Authorized Official Contact | 9374839841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters Medical Llc 7901 Schatz Pointe Dr Ste A Centerville OH 45459-3824 Ph: (937) 438-9841 | Mind Matters Medical Llc 7901 Schatz Pointe Dr Ste A Centerville OH 45459-3824 Ph: (937) 438-9841 |
| NPI Number | 1881310373 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Medicare PECOS PAC ID | 8628449725 |
|---|---|
| Medicare Enrollment ID | O20230128000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881310373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ariz Anklesaria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538314398 PECOS PAC ID: 3476794793 Enrollment ID: I20130730000462 |
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