Mind Body Medical Services, P.C. of Co

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MIND BODY MEDICAL SERVICES, P.C. OF CO

Practice address

1136 5TH Ave Apt 7B
New York, NY 10128-0122

Phone

(888) 729-1971

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Laura Hollander, MPH

Title

Care Operations Manager

Phone

(888) 729-1971

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1083471601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 5TH AVE APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280122",
            "telephone_number": "888-729-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 5TH AVE APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280122",
            "telephone_number": "888-729-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY MEDICAL SERVICES, P.C. OF CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "888-729-1971",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Minchen, RD, CDN
• Gianna Marelle Mincone
• Mind and Body Occupational Therapy, P.C.
• Mind and Body Wellness Services LLC
• Mind Base Psychotherapy LCSW PLLC
• Mind Body Medical Services, P.C., of NJ
• Mind Body Medical Services, PC
• Mind Bridge Health NP in Psychiatry
• Mind Bridge Wellness
• Mind Care NP in Psychiatry PLLC

• Adult Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.