NPIMap

Organization Active NPI

Ep Mindful Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Rockville, MD
National Provider Identifier
1295326866
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EP MINDFUL PSYCHOTHERAPY, LLC
Practice address
5230 Tuckerman LN Apt 820
Rockville, MD 20852-3860
Phone
(917) 859-3417
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Emily PiconNPI 1609239789
Title
Owner/Practice Manager
Phone
(917) 859-3417

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5230 Tuckerman LN Apt 820
Rockville, MD 20852-3860

Mailing address

5230 Tuckerman LN Apt 820
Rockville, MD 20852-3860
Phone (917) 859-3417

National Provider Directory

National Provider Directory

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1295326866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 TUCKERMAN LN APT 820",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523860",
            "telephone_number": "917-859-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 TUCKERMAN LN APT 820",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523860",
            "telephone_number": "917-859-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MINDFUL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "PICON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "917-859-3417"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.