Mindcare Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDCARE PSYCHOLOGY, PLLC

Practice address

109 Reed St
New York, NY 10013

Phone

(917) 524-8863

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Easton Gaines, PSYD, MSEDNPI 1538722194

Title

Owner

Phone

(917) 524-8863

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Easton Gaines

  • Psychologist
  • New York, NY
  • NPI 1538722194
  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1205543006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 BROADWAY # 1018",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036803",
            "telephone_number": "917-524-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 REED ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "917-524-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCARE PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "EASTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-524-8863",
        "authorized_official_credential": "PSYD, MSED"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://easton-gaines.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "address_1": "769 Broadway # 1018",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100036803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Nov 8, 2022; 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.