NPIMap

Organization Active NPI

Mind in Motion Psychological Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Island City, NY
National Provider Identifier
1093362816
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND IN MOTION PSYCHOLOGICAL SERVICES, PLLC
Practice address
4332 22ND St Ste 203
Long Island City, NY 11101-5077
Phone
(347) 352-3971
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Jihee Cho, PHDNPI 1013497205
Title
Co-Director
Phone
(917) 243-1667

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4332 22ND St Ste 203
Long Island City, NY 11101-5077

Mailing address

4332 22ND St Ste 203
Long Island City, NY 11101-5077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106000994 NY Part B Supplier - Clinic/Group Practice 0941634695 Receives reassigned benefits from 3 practitioners
Practice locations: Albany, NY; Long Island City, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1093362816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 22ND ST STE 203",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 22ND ST STE 203",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015077",
            "telephone_number": "347-352-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND IN MOTION PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "917-243-1667",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 28, 2019; 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.