Ageless Minds LLC
NPI 1104769611 · Psychiatric/Mental Health Clinical Nurse Specialist · Indianapolis, IN
Ageless Minds LLC is a Psychiatric/Mental Health Clinical Nurse Specialist organization in Indianapolis, IN (NPI 1104769611).
Provider details
- NPI number
- 1104769611
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Queela Tadoum, Owner(317) 930-1557
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
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Ageless Minds LLC's NPI number?
- Ageless Minds LLC's National Provider Identifier (NPI) is 1104769611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ageless Minds LLC?
- Ageless Minds LLC is classified in the NPPES registry as Psychiatric/Mental Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ageless Minds LLC located?
- Ageless Minds LLC's practice location on file with NPPES is 9165 Otis Ave Ste 164, Indianapolis, IN 46216-2312.
- What is Ageless Minds LLC's phone number?
- The practice phone number listed in the NPPES registry for Ageless Minds LLC is (317) 930-1557.
- Who is the authorized official for Ageless Minds LLC?
- The authorized official listed on Ageless Minds LLC's NPPES record is Queela Tadoum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ageless Minds LLC's NPI active?
- Yes — Ageless Minds LLC's NPI (1104769611) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.