Free of Mind Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FREE OF MIND PSYCHOTHERAPY LLC

Doing business as

Free of Mind Psychotherapy LLC

Practice address

8 Hillside Ave Ste 207-1
Montclair, NJ 07042-2129

Phone

(347) 208-3313

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shanta Kerina Pamphile, PHD, LPC, LMHC, NCCNPI 1295270791

Title

Founder/Owner

Phone

(347) 208-3313

Specialties & licenses 1

Addresses

Other names 1

• Free of Mind Psychotherapy LLC Doing business as

Locations

Practitioners 1

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

• Shanta Kerina Pamphile, MA

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1295270791
  NPD Authorized official

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1740003425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FARRAND ST APT 423",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034437",
            "telephone_number": "347-208-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE STE 207-1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "347-208-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE OF MIND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "PAMPHILE",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_middle_name": "KERINA",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "347-208-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free of Mind Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Melisa Fox, L.C.S.W.
• Megan Fox, LCSW
• Yuli Fradkin, M.D.
• Debbie Sue Frank, LCSW
• Donald Harry Frank, M.D.
• Freehold Montclair Healthcare, LLC
• Fresenius Medical Care Montclair, LLC
• Fresh Pediatric Dentistry PC
• Kevin L. Fried, PH.D.
• Jaclyn Friedman-Lombardo, PH.D.

• Mental Health Counselor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.