Mind Wise, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIND WISE, LLC

Practice address

1008 Schindler Dr
Silver Spring, MD 20903-1029

Phone

(917) 673-7793

NPI assigned

Feb 15, 2020

Organization subpart

No

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

Authorized official

Name

Yvany B. Peery, LCSW-C, LICSWNPI 1790165421

Title

Psychotherapist

Phone

(917) 673-7793

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yvany B. Peery, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1790165421
  NPD Authorized official

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1457984650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SCHINDLER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031029",
            "telephone_number": "917-673-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 SCHINDLER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031029",
            "telephone_number": "917-673-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "PEERY",
        "authorized_official_first_name": "YVANY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-673-7793",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mindful Mobility Physical Therapy & Wellness
• Mindful Therapy Connections LLC
• Mindfully Rooted Collaborative Therapy, LLC
• Mindlife Counseling LLC

• Community/Behavioral Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.