Young Mindz Neuro Clinic LLC
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Dyer, IN. Organization (NPI-2).
NPI number1245070945
StatusActive
Last updated in NPPESFeb 22, 2025
Details
- NPI
- 1245070945
- Entity type
- Organization (NPI-2)
- Legal business name
- Young Mindz Neuro Clinic LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2024
- Certification date
- Feb 22, 2025
- Last updated
- Feb 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | – | Yes |
Practice location
2117 Northwinds DrDyer, IN 46311-1882
Phone 219-440-3916
Mailing address
2117 Northwinds DrDyer, IN 46311-1882
Phone 219-440-3916
Authorized official
Abdullah Tolaymat
President
2194403916
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