Mind-Body and Inner Self

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MIND-BODY AND INNER SELF

Practice address

11929 80TH Rd
Suite a
Kew Gardens, NY 11415-1105

Phone

(718) 362-0615

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Angela Nicole Bland, M.S.

Title

Therapist

Phone

(917) 658-9767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1629223086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "address_2": "SUITE A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105",
            "telephone_number": "718-362-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "address_2": "SUITE A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105",
            "telephone_number": "718-362-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-BODY AND INNER SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "917-658-9767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Joy Meyers I
• Michael Kalimian D.D.S, P.C. (Kalimian Orthodontics)
• Michie Hoshino L Ac PC
• Maxx Miller, LMSW
• Simone A Mills
• Mind-Body and Inner-Self Mental Health Counseling PLLC
• Princess Mingle, NP
• Jessica Stefanie Minsky, M.A., CCC-SLP, TSSLD
• Atara Minster, MPAS, PA-C
• Michael George Mitchell, LMSW

• Health Maintenance Organization in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.