NPI 1316186539 · live from the CMS NPI Registry
The Mind And Body Consortium, LLC.
Psychiatry & Neurology, Psychiatry in Dover, DE. National Provider Identifier 1316186539, active.
NPI record
| NPI | 1316186539 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 156 S State St, Dover, DE 19901 |
| Practice phone | 302-674-2380 |
| Enumerated | February 11, 2009 |
| Last updated | April 1, 2026 |
| Authorized official | Lisa Leidy, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | — |
| Clinical Nurse Specialist, Psych/Mental Health, Adult | 364SP0809X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Clinical Nurse Specialist | 364S00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Counselor, Professional | 101YP2500X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.