| Mending Minds, LLC | |
|
1311 W 96th St Ste 110 Indianapolis IN 46260-1172 | |
| (317) 876-3699 | |
| (317) 876-3600 |
| Full Name | Mending Minds, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1311 W 96th St Ste 110, Indianapolis, Indiana |
| Authorized Official Name and Position | Lindsay Brooke Russell (OWNER) |
| Authorized Official Contact | 7654537422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Minds, LLC 1311 W 96th St Ste 110 Indianapolis IN 46260-1172 Ph: (317) 876-3699 | Mending Minds, LLC 1311 W 96th St Ste 110 Indianapolis IN 46260-1172 Ph: (317) 876-3699 |
| NPI Number | 1780258798 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 4284037987 |
|---|---|
| Medicare Enrollment ID | O20210719001995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780258798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Michael Pisano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336187103 PECOS PAC ID: 6406769546 Enrollment ID: I20031106000162 |
| Provider Name | Katherine M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659315315 PECOS PAC ID: 4789775149 Enrollment ID: I20070814000653 |
| Provider Name | Carl Quedenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265476949 PECOS PAC ID: 7214086511 Enrollment ID: I20090515000323 |
| Provider Name | Rhonda S Friend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427128149 PECOS PAC ID: 5294875530 Enrollment ID: I20091218000007 |
| Provider Name | Kristin J Clyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477860997 PECOS PAC ID: 1052506052 Enrollment ID: I20101116001139 |
| Provider Name | Tia R Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407280449 PECOS PAC ID: 2567699077 Enrollment ID: I20131207000134 |
| Provider Name | Judey M Budenz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265869804 PECOS PAC ID: 9234421819 Enrollment ID: I20160630001717 |
| Provider Name | Lindsay B Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033660188 PECOS PAC ID: 0042594608 Enrollment ID: I20170227000381 |
| Provider Name | Kelly J Barsha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629636832 PECOS PAC ID: 7719211093 Enrollment ID: I20190619002610 |
| Provider Name | Julie M Caldwell Harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003446204 PECOS PAC ID: 9739517004 Enrollment ID: I20200319002262 |
| Provider Name | Christine E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285923417 PECOS PAC ID: 1557765526 Enrollment ID: I20210812002891 |
| Provider Name | Jennifer Vandivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205506557 PECOS PAC ID: 9537566260 Enrollment ID: I20210923001211 |
| Provider Name | Amanda Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891466843 PECOS PAC ID: 8527456524 Enrollment ID: I20211025001363 |
| Provider Name | Amber Reann Phebus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639809528 PECOS PAC ID: 0042688178 Enrollment ID: I20221122000811 |
| Provider Name | Deandra Lynn Finnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891404356 PECOS PAC ID: 2062881931 Enrollment ID: I20221215002172 |
| Provider Name | Nicholas Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881382661 PECOS PAC ID: 0345699781 Enrollment ID: I20231212000149 |
| Provider Name | Jesse Martin Herrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154198562 PECOS PAC ID: 8022460369 Enrollment ID: I20240123000428 |
| Provider Name | Lamar Sykes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104101930 PECOS PAC ID: 1951746353 Enrollment ID: I20240226000796 |
| Provider Name | Shani Berrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447026851 PECOS PAC ID: 2062859424 Enrollment ID: I20240320002805 |
| Provider Name | Crystal Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366294167 PECOS PAC ID: 3375985385 Enrollment ID: I20240522002146 |
| Provider Name | Adam Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184491870 PECOS PAC ID: 6709322886 Enrollment ID: I20240725000462 |
| Provider Name | Rwana Abulaban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972366193 PECOS PAC ID: 4981145893 Enrollment ID: I20240919000175 |
| Provider Name | Stephanie Ann Fortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902643729 PECOS PAC ID: 6800316829 Enrollment ID: I20250220003523 |
| Provider Name | Conner Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942193479 PECOS PAC ID: 4385140789 Enrollment ID: I20251003002782 |
| Provider Name | Natalia Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366335754 PECOS PAC ID: 2163902818 Enrollment ID: I20260212004056 |
| Provider Name | Barbara Ayala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093600116 PECOS PAC ID: 6406330059 Enrollment ID: I20260320002617 |
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