Organization Active NPI

Mind Therapy LLC

  • Mental Health Counselor
  • Fresh Meadows, NY
National Provider Identifier
1689384778
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND THERAPY LLC
Practice address
7315 172ND St
Fresh Meadows, NY 11366-1420
Phone
(347) 709-9181
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Alla Nektalov, LCSWNPI 1083040273
Title
Director
Phone
(718) 685-8430

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7315 172ND St
Fresh Meadows, NY 11366-1420

Mailing address

2160 Park Ave Apt 104P
Miami Beach, FL 33139-1762

Other practice location 1

345 Ocean Dr Apt 819
Miami Beach, FL 33139-6918
Phone (718) 685-8430

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1689384778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 PARK AVE APT 104P",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661420",
            "telephone_number": "347-709-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Ocean Dr Apt 819",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331396918",
            "country_code": "US",
            "telephone_number": "718-685-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "NEKTALOV",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-685-8430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.