Mindset Therapy LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSET THERAPY LCSW PC

Practice address

1975 Hempstead Tpke
East Meadow, NY 11554-1758

Phone

(516) 939-8867

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Aby G ChackoNPI 1902445810

Title

Owner

Phone

(516) 939-8867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Aby George Chacko

  • Clinical Social Worker
  • Far Rockaway, NY
  • NPI 1902445810
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1285514943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SEITZ DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541758",
            "telephone_number": "516-939-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET THERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "ABY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-939-8867"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence Harvey Miller, M.D.
• Samantha Leigh Miller
• Millie Shedorick, M.S., R.D., Inc.
• Min Zhao Massage P.C.
• Mind Wellness NP in Psychiatry PLLC
• Melissa Rose Mintz-Velez, PT, DPT
• Rabia Mir, MD
• David Miresse, MB, BCH, BAO
• Brandon D. Mirochnik, M.D.
• Elizabeth Mirro, MD

• Clinical Social Worker in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.