Active NPI
Mindfulness Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Watertown, CT
National Provider Identifier
1730900051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDFULNESS PSYCHIATRY
- Practice address
- 27 Siemon Company Dr Ste 231W
Watertown, CT 06795-2654 - Phone
- (860) 518-4191
- NPI assigned
- Oct 19, 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
- Deborah Daniel, APRN
- Title
- Manager
- Phone
- (860) 518-4191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
27 Siemon Company Dr Ste 231W
Watertown, CT 06795-2654
Mailing address
27 Siemon Company Dr Ste 231W
Watertown, CT 06795-2654
Phone (860) 518-4191
National Provider Directory
National Provider DirectoryLocations
27 Siemon Company Dr
Ste 231W
Watertown, CT 06795
Phone 2035251914000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729296000000",
"number": "1730900051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SIEMON COMPANY DR STE 231W",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952654",
"telephone_number": "860-518-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SIEMON COMPANY DR STE 231W",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952654",
"telephone_number": "860-518-4191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFULNESS PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-19",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A",
"authorized_official_last_name": "DANIEL",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "860-518-4191",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.