Organization Active NPI

Fixxd, LLC

Doing business as Changing Minds

  • Psychiatry Physician
  • Stamford, CT
National Provider Identifier
1558126490
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FIXXD, LLC
Doing business as
Changing Minds
Practice address
1 Dock St Ste 309
Stamford, CT 06902-5839
Phone
(203) 363-4296
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Gregg Pauletti
Title
Director
Phone
(203) 363-4296

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1 Dock St Ste 309
Stamford, CT 06902-5839

Mailing address

1 Dock St Ste 309
Stamford, CT 06902-5839
Phone (203) 363-4296

Other names 1

  • Changing Minds Doing business as

National Provider Directory

National Provider Directory

Locations

1 Dock St
Ste 309
Stamford, CT 06902
Phone (203) 363-4296

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1558126490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOCK ST STE 309",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025839",
            "telephone_number": "203-363-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCK ST STE 309",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025839",
            "telephone_number": "203-363-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIXXD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "PAULETTI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-363-4296"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.