Mindful Mental Health CT South LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MINDFUL MENTAL HEALTH CT SOUTH LLC

Practice address

31 Kachele St
Easton, CT 06612-2063

Phone

(203) 551-7301

NPI assigned

Apr 29, 2021

Organization subpart

No

Name

Ronald Broden

Title

Ceo

Phone

(914) 720-8509

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2021.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1497338396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 KACHELE ST",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122063",
            "telephone_number": "203-551-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 KACHELE ST",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122063",
            "telephone_number": "203-551-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MENTAL HEALTH CT SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "BRODEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-720-8509"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Malinowski
• Courtney Griffin Mase, PHARMD
• Judith A McCarty, PH.D.
• Sarah Nicole McDougal, R.D.
• Harry Migenes, LCSW-R
• Mindful Resolutions Psychotherapeutic Services LLC
• MKR Therapies, LLC.
• Madeleine B Moller, L.C.S.W.
• National Athletic Alliance, Inc.
• National Athletic Health Care Alliance, P.C.

• All providers in Easton, CT
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.