Organization Active NPI

Mindspace Services LLC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1679285696
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDSPACE SERVICES LLC
Practice address
252 Bay Ridge Pkwy Apt 4D
Brooklyn, NY 11209-2456
Phone
(347) 671-1308
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Mr. Andy Benchemmar, LCSW
Title
Sole MBR
Phone
(347) 671-1308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

252 Bay Ridge Pkwy Apt 4D
Brooklyn, NY 11209-2456

Mailing address

252 Bay Ridge Pkwy Apt 4D
Brooklyn, NY 11209-2456
Phone (347) 671-1308

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1679285696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BAY RIDGE PKWY APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092456",
            "telephone_number": "347-671-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BAY RIDGE PKWY APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092456",
            "telephone_number": "347-671-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPACE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "BENCHEMMAR",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "347-671-1308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.