Mind Wellness Psychology PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIND WELLNESS PSYCHOLOGY PLLC

Practice address

444 E 82ND St Apt 9T
New York, NY 10028-5912

Phone

(917) 685-9090

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Kristy Angen, PSY.D.NPI 1023773215

Title

Psychologist

Phone

(917) 685-9090

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kristy Angen, PSY.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1023773215
  NPD Authorized official

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1063286417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E 82ND ST APT 9T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285912",
            "telephone_number": "917-685-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E 82ND ST APT 9T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285912",
            "telephone_number": "917-685-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELLNESS PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "ANGEN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-685-9090",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.