Mindful Path Psychology, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021836 Issued in NY

Legal business name

MINDFUL PATH PSYCHOLOGY, P.C.

Practice address

7210 112TH St Ofc B
Forest Hills, NY 11375-5467

Phone

(862) 216-8398

Fax

(718) 873-2089

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joseph F Atanasio III, PSYDNPI 1043612351

Title

President

Phone

(862) 216-8398

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Joseph F. Atanasio III

  • Psychologist
  • Forest Hills, NY
  • NPI 1043612351
  Medicare reassignment Authorized official
• Glenmarie Lim, MA

  • Mental Health Counselor
  • New York, NY
  • NPI 1306530126
  NPD (past)
• Arnild-Christ Moise

  • Mental Health Counselor
  • Forest Hills, NY
  • NPI 1841951977
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1508359589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 112TH ST OFC B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755467",
            "telephone_number": "862-216-8398",
            "fax_number": "718-873-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 112TH ST OFC B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755467",
            "telephone_number": "862-216-8398",
            "fax_number": "718-873-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "ATANASIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-216-8398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021836",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "021836",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "021836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Thomas Milne, LMHC-LP
• Lisa Joann Milone, PSYD
• Mind at Peace
• Mind Guide, LCSW, P.C.
• Mindful Intentions LCSW Psychotherapy PLLC
• Mindfulness Psychological Services PC
• Minds Together LCSW PC
• Mark Mineo
• Jan Miner, LCSW
• Sherene Zara Minhas

• Clinical Psychologist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.