Organization Active NPI

Healthymindsp LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1275261448
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Susan Hart, LCSWNPI 1083140701
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.