Provider Demographics
NPI:1033703491
Name:MINDSET PSYCHOLOGICAL CARE, PLLC
Entity Type:Organization
Organization Name:MINDSET PSYCHOLOGICAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ROOD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:412-615-4350
Mailing Address - Street 1:600 COMMERCE DR STE 603
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3106
Mailing Address - Country:US
Mailing Address - Phone:814-404-9208
Mailing Address - Fax:
Practice Address - Street 1:600 COMMERCE DR STE 603
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-3106
Practice Address - Country:US
Practice Address - Phone:412-615-4350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty