Active NPI
Mindful Psychiatry LLC
- Child & Adolescent Psychiatry Physician
- Westport, CT
National Provider Identifier
1144907866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- MINDFUL PSYCHIATRY LLC
- Practice address
- 500 Post Rd E
Westport, CT 06880-4431 - Phone
- (203) 516-0346
- Fax
- (203) 349-2589
- NPI assigned
- Jul 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nayla Hariz, MD
- Title
- Psychiatrist
- Phone
- (203) 516-0346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
500 Post Rd E
Westport, CT 06880-4431
Mailing address
116 Silvermine Ave
Norwalk, CT 06850-2033
Phone (203) 516-0346
Other names 1
- MINDFUL PSYCHIATRY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1144907866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SILVERMINE AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068502033",
"telephone_number": "203-516-0346",
"fax_number": "203-349-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 POST RD E",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804431",
"telephone_number": "203-516-0346",
"fax_number": "203-349-2589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-04",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "HARIZ",
"authorized_official_first_name": "NAYLA",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "203-516-0346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MINDFUL PSYCHIATRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.