Provider Demographics
NPI:1366106254
Name:SAFE MIND PSYCHIATRIC SOLUTIONS
Entity type:Organization
Organization Name:SAFE MIND PSYCHIATRIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:ATIENO
Authorized Official - Last Name:UCHENDU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, PMHNP-BC
Authorized Official - Phone:909-991-9495
Mailing Address - Street 1:38850 HIGH RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-8070
Mailing Address - Country:US
Mailing Address - Phone:909-991-9495
Mailing Address - Fax:
Practice Address - Street 1:6529 RIVERSIDE AVE STE 133
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3123
Practice Address - Country:US
Practice Address - Phone:951-684-2627
Practice Address - Fax:951-263-7260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty