OrganizationActive
The Mind Clinic, LLC
NPI 1245090489 · Psychiatric/Mental Health Nurse Practitioner · Keizer, OR
Provider details
- NPI number
- 1245090489
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dadiline Dorce, Mgr(904) 297-8291
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
3785 River Rd N
Keizer, OR 97303-5098
Phone: (503) 383-9380
Street-level locationGet directions
Mailing address
Po Box 57185
Jacksonville, FL 32241-7185
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2024-05-03
- Certified
- 2024-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.