Provider Demographics
NPI:1033500574
Name:MINDCARE SOLUTIONS, PC OF CALIFORNIA
Entity Type:Organization
Organization Name:MINDCARE SOLUTIONS, PC OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:
Authorized Official - Last Name:CONIGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-969-9019
Mailing Address - Street 1:405 DUKE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2706
Mailing Address - Country:US
Mailing Address - Phone:844-291-4535
Mailing Address - Fax:
Practice Address - Street 1:5040 WOODSPRING CT
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-8838
Practice Address - Country:US
Practice Address - Phone:530-902-7875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty