Conscious Mind Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONSCIOUS MIND PSYCHOTHERAPY

Practice address

375 Carlls Path Unit 497
Deer Park, NY 11729-7826

Phone

(631) 954-2287

Fax

(516) 951-1135

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Irem Franco, LCSWNPI 1922433754

Title

Private Practice Owner

Phone

(516) 499-2887

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Irem P. Franco, LCSW

  • Clinical Social Worker
  • Deer Park, NY
  • NPI 1922433754

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1750112231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117290497",
            "telephone_number": "631-954-2287",
            "fax_number": "516-951-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CARLLS PATH UNIT 497",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117297826",
            "telephone_number": "631-954-2287",
            "fax_number": "516-951-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS MIND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "IREM",
        "authorized_official_title_or_position": "PRIVATE PRACTICE OWNER",
        "authorized_official_telephone_number": "516-499-2887",
        "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": []
}

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• All providers in Deer Park, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.