Organization Active NPI

Mindful Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Westport, CT
National Provider Identifier
1144907866
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
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

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Nayla Hariz, MDNPI 1407298151
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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709004311 CT Part B Supplier - Clinic/Group Practice 1557806015 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, CT; Westport, CT

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.