Organization Active NPI

Harmonious Mind LLC

  • Clinical Psychologist
  • Wilmington, DE
National Provider Identifier
1205937174
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0000113 Issued in DE
Legal business name
HARMONIOUS MIND LLC
Practice address
5189 W Woodmill Dr
Wilmington, DE 19808-4009
Phone
(302) 633-6001
Fax
(302) 295-6289
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Manisha Wadhwa, MDNPI 1851376354
Title
President
Phone
(302) 407-1645

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X B1-0000113 DE Primary

Addresses

Primary practice location

5189 W Woodmill Dr
Wilmington, DE 19808-4009

Mailing address

5189 W Woodmill Dr
Wilmington, DE 19808-4009

Other identifiers 1

IdentifierTypeStateIssuer
1000037159MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051101000709 DE Part B Supplier - Clinic/Group Practice 9931126604 Receives reassigned benefits from 11 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

240 N James St
Ste 111
Newport, DE 19804
Phone (302) 407-1645

5189 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 633-6001

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1205937174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 W WOODMILL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 W WOODMILL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084009",
            "telephone_number": "302-633-6001",
            "fax_number": "302-295-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONIOUS MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-407-1645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037159",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.