Organization Active NPI

Mind and Body Counseling Services, PLLC

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1407501257
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND AND BODY COUNSELING SERVICES, PLLC
Practice address
429 E 156TH St Apt 2D
Bronx, NY 10455-1288
Phone
(917) 327-5967
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Carmela Perez-Diedhiou, LCSWNPI 1720479991
Title
Ceo/Owner
Phone
(917) 327-5967

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

429 E 156TH St Apt 2D
Bronx, NY 10455-1288

Mailing address

429 E 156TH St Apt 2D
Bronx, NY 10455-1288
Phone (917) 327-5967

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.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1407501257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E 156TH ST APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551288",
            "telephone_number": "917-327-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E 156TH ST APT 2D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551288",
            "telephone_number": "917-327-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ-DIEDHIOU",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "917-327-5967",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.