Organization Active NPI

DSM HCP Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville Centre, NY
National Provider Identifier
1760152250
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DSM HCP INC
Practice address
176 N Village Ave Ste 2G
Rockville Centre, NY 11570-3800
Phone
(516) 266-9110
Fax
(516) 200-2173
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Daniel Moldwin, PMHNP
Title
Owner
Phone
(516) 266-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

176 N Village Ave Ste 2G
Rockville Centre, NY 11570-3800

Mailing address

176 N Village Ave Ste 2G
Rockville Centre, NY 11570-3800
Phone (516) 266-9110

Other names 1

  • TOTAL MIND WELLNESS GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

8211 37th Ave
Fl 8
Jackson Heights, NY 11372
Phone (516) 266-9110

176 N Village Ave
Ste 2G
Rockville Centre, NY 11570
Phone (516) 223-7744

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1760152250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE STE 2G",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-266-9110",
            "fax_number": "516-200-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE STE 2G",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-266-9110",
            "fax_number": "516-200-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM HCP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MOLDWIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-266-9110",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL MIND WELLNESS GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.