Active NPI
Mindful Life Psychotherapy LCSW PLLC
- Clinical Social Worker
- Mount Kisco, NY
National Provider Identifier
1679200224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDFUL LIFE PSYCHOTHERAPY LCSW PLLC
- Practice address
- 100 S Bedford Rd
Mount Kisco, NY 10549-3425 - Phone
- (914) 463-0973
- NPI assigned
- Aug 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yekaterina Horlina, LCSW, CASAC
- Title
- Ceo
- Phone
- (914) 463-0973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
100 S Bedford Rd
Mount Kisco, NY 10549-3425
Mailing address
100 S Bedford Rd
Mount Kisco, NY 10549-3425
Phone (914) 463-0973
Other names 1
- MINDFUL LIFE PSYCHOTHERAPY LCSW PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Mount Kisco, NY
- NPI 1891134565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659484800000",
"number": "1679200224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493425",
"telephone_number": "914-463-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493425",
"telephone_number": "914-463-0973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL LIFE PSYCHOTHERAPY LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A",
"authorized_official_last_name": "HORLINA",
"authorized_official_first_name": "YEKATERINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "914-463-0973",
"authorized_official_credential": "LCSW, CASAC"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MINDFUL LIFE PSYCHOTHERAPY LCSW PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.