Mind Management Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND MANAGEMENT SERVICES INC

Practice address

20 Central Ave
Norwich, CT 06360-4753

Phone

(860) 889-4944

Fax

(860) 889-4944

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Marie Page, LCSW

Title

Clinical Social Worker / Vice Presi

Phone

(860) 889-4944

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Mary Anne Campbell, LCSW

  • Clinical Social Worker
  • New London, CT
  • NPI 1457453110
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1265626899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTRAL AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604753",
            "telephone_number": "860-889-4944",
            "fax_number": "860-889-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRAL AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604753",
            "telephone_number": "860-889-4944",
            "fax_number": "860-889-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER / VICE PRESI",
        "authorized_official_telephone_number": "860-889-4944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "1041C0700X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004254976",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "140003950CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Milarch, LMFT
• Colleen Miller
• Taylor M Miller, RN
• Solveig Millett
• William Mills
• Mindful Reflections LLC
• Karolyn Marie Miner, APRN
• James Minikowski, LMFT
• Francis Mirecki, M.D.
• Samantha Mirra

• Clinical Social Worker in Norwich, CT
• Providers in Norwich, CT by specialty
• Clinical Social Worker in Connecticut

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