Active NPI
Moore Mindful Solutions LLC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1689426603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MOORE MINDFUL SOLUTIONS LLC
- Practice address
- 223 W 131St St Apt 1R
New York, NY 10027-2000 - Phone
- (347) 423-2565
- NPI assigned
- Apr 3, 2024
- 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
- Dr. Kimberly Moore, PHD, LCSW
- Title
- Ceo
- Phone
- (347) 423-2565
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
223 W 131St St Apt 1R
New York, NY 10027-2000
Mailing address
223 W 131St St Apt 1R
New York, NY 10027-2000
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1689426603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 W 131ST ST APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100272000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W 131ST ST APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100272000",
"telephone_number": "347-423-2565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE MINDFUL SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "347-423-2565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, 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 New York, NY
- Moonlight Acupuncture P.C.
- Moonlight Pediatrics of Nyc, P.C.
- Moor Health Limited
- John Mooradian, AGNP-C
- Moore Mental Health Counseling Services, PLLC. (Theramoore)
- Caryn Michelle Moore Shinaba, LCSW
- Sarah Elizabeth Moore-Barreto, LMHC
- Shana Chere Moore-Pierre, MA, MPH
- Adelia Moore, PH.D.
- Alexandra Moore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.