OrganizationActive
Mind Body Optimization Online, LLC
NPI 1548069859 · Psychiatry Physician · Leawood, KS
Provider details
- NPI number
- 1548069859
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Moraine, Legal Counsel(469) 990-3626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
5405 W 151st St
Leawood, KS 66224-8700
Phone: (682) 900-6631
Fax: (800) 416-8145
Street-level locationGet directions
Mailing address
16 Village Ln Ste 200
Colleyville, TX 76034-2948
Other names (DBA / former)
- Doing business as
- Mind Body Optimization
Additional practice locations (1)
- 1010 Carondelet Dr Ste 329Kansas City, MO 64114-4854Phone: (682) 900-6631Fax: (800) 416-8145
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.