Catherine Ann Mindolovich, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013949 Issued in NY

Practice address

340 E 49TH St Apt 4a
New York, NY 10017-1698

Phone

(917) 439-1444

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1104879758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 49TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171698",
            "telephone_number": "917-439-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 49TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171698",
            "telephone_number": "917-439-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDOLOVICH",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "013949",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02265149",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION BOARD",
            "identifier": "S13949-3B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Mindlin, LCSW
• Brian A. Mindlin, LMSW
• Galina Mindlin, MD
• Samantha Hallie Mindlin, DO
• Mindly Thrive, PLLC
• Mindset Health Inc
• Mindset Psychiatric Services PLLC
• Mindspan Medical America PA
• Mindwell Psychology Nyc PLLC
• Mackenna Marie Minehan, LMSW

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.