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NPI · 1104769611 · NPPES-sourced

Ageless Minds LLC

ActivePsychiatric/Mental Health Clinical Nurse Specialist
NPI Number
1104769611
Type 2 · Organisation
Contact
(317) 930-1557
Primary practice line
Last Updated
Enumerated
Primary practice addressIN · 46216-2312
9165 Otis Ave Ste 164Indianapolis, IN 46216-2312
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About this NPIWhat this record shows.

NPI 1104769611 is registered to Ageless Minds LLC, a healthcare organisation classified as "Psychiatric/Mental Health Clinical Nurse Specialist" and located at 9165 Otis Ave Ste 164 in Indianapolis, Indiana. The organisation's authorised official is Queela Tadoum. The organisation has been enumerated in the NPI registry since 2026.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ageless Minds LLC accepts. To confirm in-network status with your specific health plan, contact Ageless Minds LLC directly at (317) 930-1557.

Frequently asked

Yes. NPI 1104769611 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatric/Mental Health Clinical Nurse Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (317) 930-1557.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ageless Minds LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy364SP0808X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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