Organization Active NPI

Tranquility of Mind LCSW PC

  • Clinical Social Worker
  • Mount Sinai, NY
National Provider Identifier
1225474554
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANQUILITY OF MIND LCSW PC
Practice address
28 North Country Rd.
Suite 101
Mt. Sinai, NY 11766
Phone
(516) 350-8379
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Agnelo Benvindo Dias, LCSW
Title
Ceo
Phone
(516) 350-8379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

28 North Country Rd.
Suite 101
Mt. Sinai, NY 11766

Mailing address

595 Dogwood Ave
West Hempstead, NY 11552-3128
Phone (516) 350-8379

National Provider Directory

National Provider Directory

Locations

28 N Country Rd
Ste 101
Mount Sinai, NY 11766
Phone (631) 331-1598

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": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1225474554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 DOGWOOD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523128",
            "telephone_number": "516-350-8379",
            "fax_number": "631-476-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NORTH COUNTRY RD.",
            "address_2": "SUITE 101",
            "city": "MT. SINAI",
            "state": "NY",
            "postal_code": "11766",
            "telephone_number": "516-350-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY OF MIND LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "AGNELO",
        "authorized_official_middle_name": "BENVINDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-350-8379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.