Provider Demographics
NPI:1497397590
Name:MINDSET TMS, INC
Entity Type:Organization
Organization Name:MINDSET TMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERALTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-775-8103
Mailing Address - Street 1:8217 W 20TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3033
Mailing Address - Country:US
Mailing Address - Phone:970-775-8103
Mailing Address - Fax:970-775-8103
Practice Address - Street 1:8217 W 20TH ST STE C
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3033
Practice Address - Country:US
Practice Address - Phone:970-775-8103
Practice Address - Fax:970-775-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty