| Mindvisory LLC | |
|
802 Village Cir Apt D Newark DE 19713-4901 | |
| (302) 252-8498 | |
| Not Available |
| Full Name | Mindvisory LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 802 Village Cir Apt D, Newark, Delaware |
| Authorized Official Name and Position | Elizabeth Gichema (OWNER) |
| Authorized Official Contact | 3022528498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindvisory LLC 802 Village Cir Apt D Newark DE 19713-4901 Ph: (302) 252-8498 | Mindvisory LLC 802 Village Cir Apt D Newark DE 19713-4901 Ph: (302) 252-8498 |
| NPI Number | 1205578572 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 5092192898 |
|---|---|
| Medicare Enrollment ID | O20220517001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205578572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | Elizabeth Gichema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356860167 PECOS PAC ID: 7214203975 Enrollment ID: I20171024002845 |
Christiana Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1512 |
Green Line Business Group LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Innovation Way, Newark, DE 19711 Phone: 302-635-0581 |
The Family Doctors PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Polly Drummond Hill Road, Newark, DE 19711 Phone: 302-368-3600 Fax: 302-368-6099 |
Inpatient Consultants of Pennsylvania PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Continental Dr, Suite 406, Newark, DE 19713 Phone: 302-368-2630 Fax: 302-368-1271 |
University of Delaware Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 The Green, University Of Delaware, Newark, DE 19716 Phone: 302-831-2226 |
Glasgow Internal Medicine Associates PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Glasgow Ave, Suite 126, Newark, DE 19702 Phone: 302-836-0100 Fax: 302-836-5244 |