Mindful Neurology, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MINDFUL NEUROLOGY, PLLC

Practice address

66 Sapphire Rd
Monroe, NY 10950-5539

Phone

(516) 884-2442

Fax

(917) 477-6456

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Mulukutla, MDNPI 1164711354

Title

Physician / Owner

Phone

(516) 884-2442

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Sarah A Mulukutla, MD, MPH

  • Neurology Physician
  • Stamford, CT
  • NPI 1164711354

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1043070808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109260426",
            "fax_number": "917-477-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SAPPHIRE RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505539",
            "telephone_number": "516-884-2442",
            "fax_number": "917-477-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "MULUKUTLA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "516-884-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestone ABA
• Columbia Miller, DC
• Lawrence Daniel Miller, O.D.
• Shari Miller
• Krystal Mims
• Mindful NP in Psychiatry PLLC
• Michal Pessel Mindick
• Efroim Minzer
• Naftali Minzer, PA-C
• Lauren Nicole Miranda, LMHC

• Health Service Clinic/Center in Monroe, NY
• Providers in Monroe, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.