| Mindful Medicine, Inc. | |
|
3690 Orange Pl Ste 410 Beachwood OH 44122-4464 | |
| (216) 292-6288 | |
| Not Available |
| Full Name | Mindful Medicine, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3690 Orange Pl, Beachwood, Ohio |
| Authorized Official Name and Position | Linda Marie Ehrenbeit (BILLING MANAGER) |
| Authorized Official Contact | 4407080598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Medicine, Inc. 3690 Orange Pl Ste 410 Beachwood OH 44122-4464 Ph: (216) 292-6288 | Mindful Medicine, Inc. 3690 Orange Pl Ste 410 Beachwood OH 44122-4464 Ph: (216) 292-6288 |
| NPI Number | 1962681932 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 4789858242 |
|---|---|
| Medicare Enrollment ID | O20111117000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962681932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-071457B (Ohio) | Primary |
| Provider Name | Diane C Berie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912052531 PECOS PAC ID: 5496929952 Enrollment ID: I20111121000138 |
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