Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mindbodymom, Inc

Organization Psychologist · NPI 1538029988

Mindbodymom, Inc is a Psychologist in Flagstaff, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1636 W Stevanna Way United States
Flagstaff, AZ 86001
Phone: (970) 471-3981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1538029988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Russell — Chief Executive Officer · (970) 471-3981
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 1, 2025
Mailing address16192 Coastal Hwy, Lewes, DE 19958-3608

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