Healing the Wounded Soul LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HEALING THE WOUNDED SOUL LLC

Practice address

16 Dakin Ave Ste 110
Mount Kisco, NY 10549-2826

Phone

(516) 225-8767

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Kristen Ducharme

Title

Credentialing/Billing Manager

Phone

(401) 533-6245

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Danielle M Russo, PSYD

  • Clinical Psychologist
  • Mount Kisco, NY
  • NPI 1114334851
  NPD
• Sarah Hannagan, MSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1184311581
  NPD (past)
• Abdullah Kadan, MD

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1982833133
  NPD (past)

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1306630199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 GREAT RD",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966864",
            "telephone_number": "401-533-6245",
            "fax_number": "401-424-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DAKIN AVE STE 110",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492826",
            "telephone_number": "516-225-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING THE WOUNDED SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "DUCHARME",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING MANAGER",
        "authorized_official_telephone_number": "401-533-6245"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nan Alison Sutter Hayworth, MD
• Scott D Hayworth, MD
• HCS Home Care of Westchester Inc (A & J Home Care)
• HCS Home Care of Westechester
• Jian He, L.AC.
• Austin Healy
• Cynthia Harriet Heller, SLP
• Diane Baver Heller, D.D.S.
• Marie Henderson, DO
• William Henry

• Clinical Psychologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.