Active NPI
The Integrated Mind, LLC
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1417739632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THE INTEGRATED MIND, LLC
- Practice address
- 185 Devonshire St Ste 502
Boston, MA 02110-1407 - Phone
- (617) 221-7865
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dhanviney Verma, MD
- Title
- Owner
- Phone
- (617) 221-7865
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
185 Devonshire St Ste 502
Boston, MA 02110-1407
Mailing address
185 Devonshire St Ste 502
Boston, MA 02110-1407
Phone (617) 221-7865
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatry Physician
- Boston, MA
- NPI 1932528668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1417739632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 DEVONSHIRE ST STE 502",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101407",
"telephone_number": "617-221-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 DEVONSHIRE ST STE 502",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101407",
"telephone_number": "617-221-7865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE INTEGRATED MIND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A",
"authorized_official_last_name": "VERMA",
"authorized_official_first_name": "DHANVINEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-221-7865",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.