Minds on the Mend LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDS ON THE MEND LLC

Practice address

4 Lincoln St
Medway, MA 02053-1623

Phone

(401) 237-2325

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Domenica Rizza, LICSWNPI 1568024206

Title

Clinical Psychotherapist

Phone

(401) 237-2325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

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

• Domenica Rizza, L.I.C.S.W

  • Clinical Social Worker
  • Hopkinton, MA
  • NPI 1568024206
  Medicare reassignment Care Compare group NPD Authorized official
• Kathryn Brewer

  • Clinical Social Worker
  • Worcester, MA
  • NPI 1114498904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1386310100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LINCOLN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531623",
            "telephone_number": "401-237-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LINCOLN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531623",
            "telephone_number": "401-237-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS ON THE MEND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "RIZZA",
        "authorized_official_first_name": "DOMENICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "401-237-2325",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Leigh Meyer, MS, LAT, ATC
• Bernice Joan Michel, MSW
• Michelle Dwyer
• Milford Regional Physician Group, Inc.
• Milford Regional Physician Group, Inc.
• Minuteclinic Diagnostic of Massachusetts LLC
• Minuteclinic Diagnostic of Massachusetts LLC
• Minuteclinic Primary Care Massachusetts PLLC
• Anita Louise Mulcahey, LICSW
• Jennifer Coleman Munro, FNP

• Mental Health Counselor in Medway, MA
• Providers in Medway, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.