MEDICARE: MINDSCIENCE MEDICAL GROUP PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1972483634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDSCIENCE MEDICAL GROUP PLC

Provider Business Mailing Address
First Line	:	3417 N 32ND ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5606
Country	:	US
Telephone Number	:	602-368-3600
Fax Number	:	602-368-3235

Provider Business Practice Location Address
First Line	:	3417 N 32ND ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5606
Country	:	US
Telephone Number	:	602-368-3600
Fax Number	:	602-368-3235

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	SARI LORD
Credential	:
Telephone Number	:	602-368-3600

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

Similar Medicare Providers

1457622789 — PALO BREA PAIN AND REHABILITATION
Practice Location Address:

3417 N 32ND ST
PHOENIX, AZ
85018-5606

Practice Phone: 602-368-3600
Practice Fax: 602-368-3235

1376020685 — ANDOLORIS MEDICAL, PLLC
Practice Location Address:

3417 N 32ND ST STE B
PHOENIX, AZ
85018-5606

Practice Phone: 800-722-4446
Practice Fax:

1568862696 — SUSAN E ORESHACK DPT
Practice Location Address:

11225 N 28TH DR STE F100
PHOENIX, AZ
85029-5606

Practice Phone: 602-866-0066
Practice Fax:

1316903859 — MY FAMILY CHIROPRACTOR INC.
Practice Location Address:

11225 N 28TH DR , A-101
PHOENIX, AZ
85029-5606

Practice Phone: 602-789-7777
Practice Fax:

1841244506 — MRS. DOVIE PAULINE WATFORD M.S.
Practice Location Address:

11225 N 28TH DR , SUITE D213
PHOENIX, AZ
85029-5606

Practice Phone: 602-993-4323
Practice Fax: 602-993-0867

1275607301 — JULIE PREVOZNIK LPC
Practice Location Address:

11225 N 28TH DR , SUITE D215
PHOENIX, AZ
85029-5606

Practice Phone: 602-993-6077
Practice Fax: 602-993-6455

Directions to “MINDSCIENCE MEDICAL GROUP PLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.