Mindful Creativity Studio

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006108 Issued in CT

Legal business name

MINDFUL CREATIVITY STUDIO

Practice address

50 Exchange St
New Haven, CT 06513-3921

Phone

(203) 668-9725

NPI assigned

Jul 21, 2018

Organization subpart

No

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

Authorized official

Name

Catherine J Macrae, LCSW

Title

Owner

Phone

(203) 668-9725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532131200000",
    "number": "1134606262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EXCHANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133921",
            "telephone_number": "203-668-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EXCHANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133921",
            "telephone_number": "203-668-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CREATIVITY STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-21",
        "last_updated": "2018-07-21",
        "status": "A",
        "authorized_official_last_name": "MACRAE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-668-9725",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Min, MD
• Alain Mina, MD
• Julie Mina, MD
• Josue Luis Minaya
• Mindful Abundance Therapy, PLLC
• Brienne Miner, M.D.
• Alfred Guy Bowman Mingrone, LMSW
• Connor Patrick Miniter
• Courtney Lois Miniter, APRN
• Andrea Rose Minken, PA-C

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; 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.