LWM Mental Health Specialist LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LWM MENTAL HEALTH SPECIALIST LLC

Practice address

34 Plaza Street East
Suite 102
Brooklyn, NY 11238

Phone

(718) 399-6852

NPI assigned

Jun 18, 2019

Organization subpart

Yes

Parent organization

LWM MENTAL HEALTH SPECIALIST LLCAs reported in NPPES

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

Authorized official

Name

Dr. Lauree Wolin Mitchell, PHDNPI 1184725160

Title

Clinical Psychologist

Phone

(718) 399-6852

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

LWM Mental Health Specialist LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauree Wolin Mitchell, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1184725160
  NPD (past) Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1144880550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PLAZA STREET EAST",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLAZA STREET EAST",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-399-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWM MENTAL HEALTH SPECIALIST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LWM MENTAL HEALTH SPECIALIST LLC",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LAUREE",
        "authorized_official_middle_name": "WOLIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-399-6852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02816544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.