Healthcare Provider Details

I. General information

NPI: 1093066995
Provider Name (Legal Business Name): HEALTHY MINDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 BALTIMORE PIKE # 5353
SPRINGFIELD PA
19064-2850
US

IV. Provider business mailing address

1138 BALTIMORE PIKE # 5353
SPRINGFIELD PA
19064-2850
US

V. Phone/Fax

Practice location:
  • Phone: 302-477-0977
  • Fax:
Mailing address:
  • Phone: 302-477-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. UJWALA DIXIT
Title or Position: PRESIDENT FOIUNDER
Credential: MD
Phone: 302-477-0977