Organization Active NPI

Mindful Resolutions Psychotherapeutic Services LLC

  • Clinical Social Worker
  • Easton, CT
National Provider Identifier
1245830363
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL RESOLUTIONS PSYCHOTHERAPEUTIC SERVICES LLC
Practice address
193 Westport Rd
Easton, CT 06612-1329
Phone
(203) 220-9770
Fax
(203) 220-9771
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Mr. Harry Migenes, LCSWNPI 1578196259
Title
Founder/Ceo
Phone
(203) 220-9770

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 Social Worker 1041C0700X Primary

Addresses

Primary practice location

193 Westport Rd
Easton, CT 06612-1329

Mailing address

193 Westport Rd
Easton, CT 06612-1329
Phone (203) 220-9770

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1245830363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 WESTPORT RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121329",
            "telephone_number": "203-220-9770",
            "fax_number": "203-220-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 WESTPORT RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121329",
            "telephone_number": "203-220-9770",
            "fax_number": "203-220-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL RESOLUTIONS PSYCHOTHERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MIGENES",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "203-220-9770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.