Change of Mind LLC
NPI 1053264788 · Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
Change of Mind LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Mesa, AZ (NPI 1053264788).
Provider details
- NPI number
- 1053264788
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Susan Willever, Managing Member(480) 686-0170
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Change of Mind LLC's NPI number?
- Change of Mind LLC's National Provider Identifier (NPI) is 1053264788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Change of Mind LLC?
- Change of Mind LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Change of Mind LLC located?
- Change of Mind LLC's practice location on file with NPPES is 11331 E Starfire Cir, Mesa, AZ 85212-7062.
- What is Change of Mind LLC's phone number?
- The practice phone number listed in the NPPES registry for Change of Mind LLC is (148) 068-6017.
- Who is the authorized official for Change of Mind LLC?
- The authorized official listed on Change of Mind LLC's NPPES record is Susan Willever, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Change of Mind LLC's NPI active?
- Yes — Change of Mind LLC's NPI (1053264788) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.