Mindful Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDFUL PSYCHOLOGICAL SERVICES PLLC

Practice address

353 Lexington Ave
Therapeutic Alliance Suites FL 2, Office 1
New York, NY 10016-0941

Phone

(631) 623-7185

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By 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

Melissa Jermann, PH.D.NPI 1205558178

Title

Owner

Phone

(631) 623-7185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Melissa Ann Jermann, PHD

  • Clinical Psychologist
  • New York, NY
  • NPI 1205558178
  NPD Authorized official

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1134938574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE",
            "address_2": "THERAPEUTIC ALLIANCE SUITES FL 2, OFFICE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE",
            "address_2": "THERAPEUTIC ALLIANCE SUITES FL 2, OFFICE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "631-623-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 High Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051223",
            "country_code": "US",
            "telephone_number": "631-623-7185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Hopes Farm Ln",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NY",
            "postal_code": "105062102",
            "country_code": "US",
            "telephone_number": "631-623-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "JERMANN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-623-7185",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mindful Path
• Mindful Services LLC
• Mindful Way LCSW PLLC
• Mindful Wellness Psychotherapy LCSW PLLC
• Alison Mindlin, LCSW
• Brian A. Mindlin, 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 Dec 31, 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.