Mindset Life LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

279199 Issued in NY

Legal business name

MINDSET LIFE LLC

Practice address

33 Pearl St
Rochester, NY 14607-3532

Phone

(585) 820-9151

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin Lee Cohen

Title

Owner

Phone

(585) 820-9151

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1669972683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PEARL ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073532",
            "telephone_number": "585-820-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PEARL ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073532",
            "telephone_number": "585-820-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-820-9151"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006722",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas P. Mincer, P.A.
• Shifra Mincer, MD
• Mind Over Chatter LCSW, PLLC
• Mindful Healing LLC
• Mindful Psychology
• R. Edward Miner, M.D.
• Sarah Miner, RN
• Susan Lalor Miner
• Wyatt Minet
• Jaime M Minguez, LMT

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.