NPIMap

Organization Active NPI

Mindwell Psychology, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ithaca, NY
National Provider Identifier
1255944377
Registry record updated Aug 31, 2022
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
MINDWELL PSYCHOLOGY, LLP
Practice address
950 Danby Rd Ste 202F
Ithaca, NY 14850-5714
Phone
(802) 578-4379
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Dr. Aaron Rakow, PHDNPI 1649543539
Title
Executive Director
Phone
(802) 578-4379

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

950 Danby Rd Ste 202F
Ithaca, NY 14850-5714

Mailing address

950 Danby Rd Ste 202
Ithaca, NY 14850-5714
Phone (607) 260-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mindwellcenter.com Direct

National Provider Directory

National Provider Directory

Locations

950 Danby Rd
Ste 202F
Ithaca, NY 14850
Phone (607) 260-3100

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1255944377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DANBY RD STE 202",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505714",
            "telephone_number": "607-260-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANBY RD STE 202F",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505714",
            "telephone_number": "802-578-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL PSYCHOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "RAKOW",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-578-4379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mindwellcenter.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "950 Danby Rd Ste 202F",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148505714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.