Mindwell Psychology Nyc PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020696 Issued in NY

Legal business name

MINDWELL PSYCHOLOGY NYC PLLC

Practice address

80 8TH Ave
Suite 711
New York, NY 10011-5126

Phone

(646) 809-5440

NPI assigned

Mar 4, 2017

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Skolnick, PH.D.NPI 1356806301

Title

Licensed Clinical Psychologist

Phone

(646) 809-5440

Specialties & licenses 5

Addresses

Locations

Practitioners 4

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.

• Rebecca Bromberg Skolnick, PHD

  • Clinical Psychologist
  • New York, NY
  • NPI 1356806301
  NPD (past) Authorized official
• Rachel Hutt

  • Clinical Psychologist
  • New York, NY
  • NPI 1881949485
  NPD
• Bradford Stevens, PH.D.

  • Mental Health Counselor
  • New York, NY
  • NPI 1457735664
  NPD (past)
• Teresa Preddy, PH.D.

  • Clinical Psychologist
  • Riverside, RI
  • NPI 1851825020
  NPD (past)

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1558801977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 8TH AVE",
            "address_2": "SUITE 711",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115126",
            "telephone_number": "646-809-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 8TH AVE",
            "address_2": "SUITE 711",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115126",
            "telephone_number": "646-809-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL PSYCHOLOGY NYC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-809-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021280",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018408",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P09302",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021210",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindly Thrive, PLLC
• Catherine Ann Mindolovich, PH.D.
• Mindset Health Inc
• Mindset Psychiatric Services PLLC (Being Health)
• Mindspan Medical America PA
• Mackenna Marie Minehan, LMSW
• Janna Claire Minehart, MD
• Mia Minen, MD MPH
• Johnetta Miner, NP
• Ana Christina E. Minerly, PH.D.

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Apr 27, 2018; 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.