Mindful Holistics, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDFUL HOLISTICS, LLC

Practice address

75 Railroad Ave Unit B4
Epping, NH 03042-3540

Phone

(603) 318-2635

NPI assigned

Mar 1, 2021

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Kulbacki, LMHC

Title

Owner

Phone

(603) 318-2635

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madison Puglisi

  • Mental Health Counselor
  • Epping, NH
  • NPI 1992531875
  NPD
• Amanda Dunbar, MS, LMHC

  • Mental Health Counselor
  • NPI 1992299523

  Cognitive & Behavioral

  NPD

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1104410281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RAILROAD AVE UNIT B4",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423540",
            "telephone_number": "603-318-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RAILROAD AVE UNIT B4",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423540",
            "telephone_number": "603-318-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HOLISTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KULBACKI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-318-2635",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth McCullom-Barry, DDS
• Amanda McGrath
• Lauren Marie McGrath, APRN
• Linda McGrath
• Melissa Potter Licsw
• Melissa Marie Murphy, PHARM D
• Myeyedr Optometry of New Hampshire, PLLC (MyEyeDr.)
• Rachel Nelson, RRT
• New England Dragway Inc
• Whitney B Nowak, NP

• Clinical Psychologist in Epping, NH
• Providers in Epping, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.