Provider Demographics
NPI:1275931438
Name:MYND ANALYTICS, INC.
Entity Type:Organization
Organization Name:MYND ANALYTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:949-420-4401
Mailing Address - Street 1:26522 LA ALAMEDA
Mailing Address - Street 2:SUITE 290
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6330
Mailing Address - Country:US
Mailing Address - Phone:949-429-4407
Mailing Address - Fax:866-867-4446
Practice Address - Street 1:25201 PASEO DE ALICIA STE 145
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4612
Practice Address - Country:US
Practice Address - Phone:949-429-4407
Practice Address - Fax:866-867-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Multi-Specialty