Mindspan Medical CT, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINDSPAN MEDICAL CT, P.C.

Practice address

6 Landmark SQ FL 4
Stamford, CT 06901-2704

Phone

(978) 850-3914

Fax

(646) 871-0128

NPI assigned

Apr 17, 2026

Last updated

Apr 17, 2026By 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

Pan Chaudhury

Title

Chief Administrative Officer

Phone

(484) 515-4755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1578407706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 90030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "978-850-3914",
            "fax_number": "646-871-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LANDMARK SQ FL 4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012704",
            "telephone_number": "978-850-3914",
            "fax_number": "646-871-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPAN MEDICAL CT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "CHAUDHURY",
        "authorized_official_first_name": "PAN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "484-515-4755"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew G Minutolo, RPH
• Madchen Isabelle Miranda, RN

• Clinic/Center in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.