Active NPI
Healthymindsp LLC
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEALTHYMINDSP LLC
- Practice address
- 521 5TH Ave
New York, NY 10175-0003 - Phone
- (646) 653-5120
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Hart, LCSW
- Title
- Manager
- Phone
- (571) 991-5212
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
521 5TH Ave
New York, NY 10175-0003
Mailing address
39 Cedar Ter
Hilton, NY 14468-1445
Phone (571) 991-5212
Other practice location 1
4498 Main St # 1011
Buffalo, NY 14226-3826
Phone (646) 653-5120
Other practice location 2
350 Northern Blvd # 324
Albany, NY 12204-1000
Phone (646) 653-5120
Other practice location 3
1283 Arsenal St Stop 16
Watertown, NY 13601-2253
Phone (646) 653-5120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | simplepractice.com |
National Provider Directory
National Provider DirectoryLocations
350 Northern Blvd
#324
Albany, NY 12204
Phone (646) 653-5120
350 Northern Blvd
Ste 3241122
Albany, NY 12204
2 Plaza Dr
Auburn, NY 13021
4498 Main St
#1011
Buffalo, NY 14226
Phone (646) 653-5120
4498 Main St
Ste 1011
Buffalo, NY 14226
442 5th Ave
Ste 1785
New York, NY 10018
521 5th Ave
Fl 17
New York, NY 10175
Phone (212) 929-4280
2363 James St
Ste 672
Syracuse, NY 13206
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1083140701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1275261448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 CEDAR TER",
"city": "HILTON",
"state": "NY",
"postal_code": "144681445",
"telephone_number": "571-991-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101750003",
"telephone_number": "646-653-5120"
}
],
"practiceLocations": [
{
"address_1": "4498 Main St # 1011",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142263826",
"country_code": "US",
"telephone_number": "646-653-5120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Northern Blvd # 324",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041000",
"country_code": "US",
"telephone_number": "646-653-5120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1283 Arsenal St Stop 16",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "NY",
"postal_code": "136012253",
"country_code": "US",
"telephone_number": "646-653-5120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHYMINDSP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "571-991-5212",
"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": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "simplepractice.com",
"affiliation": "N",
"address_1": "521 5th Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "101750003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.