NPIMap

Organization Active NPI

Mind Therapy

  • Mental Health Counselor
  • Long Island City, NY
National Provider Identifier
1013519818
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND THERAPY
Practice address
150 50TH Ave Apt 612
Long Island City, NY 11101-6064
Phone
(718) 685-8430
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alla NektalovNPI 1083040273
Title
Founder
Phone
(718) 685-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

150 50TH Ave Apt 612
Long Island City, NY 11101-6064

Mailing address

150 50TH Ave Apt 612
Long Island City, NY 11101-6064
Phone (718) 685-8430

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1013519818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 50TH AVE APT 612",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016064",
            "telephone_number": "718-685-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 50TH AVE APT 612",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016064",
            "telephone_number": "718-685-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "NEKTALOV",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "718-685-8430"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "Online EHR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 50th Ave Apt 612",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111016064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.