Healthcare Provider Details
I. General information
NPI: 1285515890
Provider Name (Legal Business Name): MINDBODY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6326 E SIERRA SUNSET TRL
CAVE CREEK AZ
85331-2515
US
IV. Provider business mailing address
6326 E SIERRA SUNSET TRL
CAVE CREEK AZ
85331-2515
US
V. Phone/Fax
- Phone: 480-331-9753
- Fax:
- Phone: 480-331-9753
- Fax: 480-701-8490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
SCHREIMAN
Title or Position: OWNER
Credential: MD
Phone: 480-331-9753