Christine Coppola Mink, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011552-1 Issued in NY

Practice address

37 Moore Ave
Mount Kisco, NY 10549-3127

Phone

(914) 244-1467

Fax

(914) 241-0521

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gabriel Bertrand M.D. P.C.

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  • NPI 1811207541
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1073789210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MOORE AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493127",
            "telephone_number": "914-244-1467",
            "fax_number": "914-241-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MOORE AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493127",
            "telephone_number": "914-244-1467",
            "fax_number": "914-241-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "CHRISTINE",
        "middle_name": "COPPOLA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011552-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet A, Miller, PT
• Nan Miller, LCSW, PH.D.
• Robin M Miller, MD
• Melissa D Millian Katz, LCSW
• Mindful Life Psychotherapy LCSW PLLC
• Mint Kisco Dental P.C.
• Benedict Richard Miraglia Jr., DDS
• Solomon Miskin, M.D.
• Jacqueline Mitchell, LPN
• Matthew Joseph Mitchell, PH.D.

• Clinical Psychologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.