Mindfullness LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MINDFULLNESS LLC

Practice address

1750 S Telegraph Rd Ste 102
Bloomfield Hills, MI 48302-0177

Phone

(248) 686-0346

Fax

(248) 686-0346

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristine Marie Vazzano, PHD, LP

Title

Clinical Director, Owner

Phone

(248) 686-0346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1356856843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-686-0346",
            "fax_number": "248-686-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-686-0346",
            "fax_number": "248-686-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "VAZZANO",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "248-686-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Amanda Mills, M.A.-SLP
• Stephanie Beth Milstein, PH.D.
• Mind Connections, LLC
• Michael Steven Mindell, PHARMACIST
• Mindful Solutions LLC
• Mindlin-Koh Center for Ophthalmic Medicine and Surgery PC (Michigan Ophthalmic Plastic Surgery)
• Alan M Mindlin, MD
• Frederick Victor Minkow, MD
• Ashley Minter
• Dominick Miriani

• Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.