NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MINDBODYMOM, INC.
1636 W STEVANNA WAY
UNITED STATES
FLAGSTAFF, AZ86001
 Phone: 970-471-3981
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MINDBODYMOM, INC.

NPI # 1538029988
LBN Legal business name MINDBODYMOM, INC.
Authorized official SAMANTHA RUSSELL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2025
Last updated 11/17/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for MINDBODYMOM, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for MINDBODYMOM, INC.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Psychologist
MARY L DELDUCA, MD
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ
ANGELA L KEITH, PHD, LPC
1016 W UNIVERSITY AVE
FLAGSTAFF, AZ
HAROLD K. FIGUEROA, M.D., PLLC
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ
CYNTHIA WHITE, PhD
500 N HWY 89
PRESCOTT, AZ
AMY B WRABETZ, PhD
500 N. HWY 89
PRESCOTT, AZ
KELLI L SMART, PSYCHOLOGIST
8766 EAST HWY 69
PRESCOTT VALLEY, AZ
ANGIE J GRAHAM, PSY.D.
8766 E. HWY 69
PRESCOTT VALLEY, AZ
ANNA R SENO, LCSW
300 S GRANITE STREET
PRESCOTT, AZ
EDWARD GOGEK, MD
315G S. CORTEZ ST
PRESCOTT, AZ
VIRGINIA L CONNER, EDD
141 S MCCORMICK ST STE 109
PRESCOTT, AZ

  View all Psychologist
v2.403