Provider Demographics
NPI:1154086619
Name:MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC
Entity Type:Organization
Organization Name:MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAUMAN
Authorized Official - Middle Name:HANIF
Authorized Official - Last Name:TAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-616-2666
Mailing Address - Street 1:MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC
Mailing Address - Street 2:608 E HARMONY RD # 302
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:307-200-7383
Mailing Address - Fax:970-233-9219
Practice Address - Street 1:MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC
Practice Address - Street 2:608 E HARMONY RD # 302
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:307-200-7383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty