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

Modern Mindcare PLLC

Organization Psychiatry Physician · NPI 1013473560

Modern Mindcare PLLC is a Psychiatry Physician in Edmond, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1985 W 33rd St
Edmond, OK 73013-3875
Phone: (405) 633-2496
Fax: (224) 935-4482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1013473560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shyvonne Gray — Owner · (405) 633-2496
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019
Mailing address1985 W 33rd St, Edmond, OK 73013-3875

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