Organization Active NPI

Clear Mind Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Plains, NY
National Provider Identifier
1225826985
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEAR MIND WELLNESS LLC
Practice address
200 Mamaroneck Ave Ste 201
White Plains, NY 10601-5315
Phone
(914) 639-3100
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Marin Witriol
Title
Ceo
Phone
(718) 813-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 Mamaroneck Ave Ste 201
White Plains, NY 10601-5315

Mailing address

200 Mamaroneck Ave Ste 201
White Plains, NY 10601-5315

National Provider Directory

National Provider Directory

Locations

200 Mamaroneck Ave
Ste 201
White Plains, NY 10601
Phone (914) 639-3100

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1225826985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAMARONECK AVE STE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAMARONECK AVE STE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015315",
            "telephone_number": "914-639-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WITRIOL",
        "authorized_official_first_name": "MARIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-813-2404"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.