Organization Active NPI

Peace of Mind Psychological Services, LLC

  • Professional Counselor
  • Stamford, CT
National Provider Identifier
1770839391
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001974 Issued in CT
Legal business name
PEACE OF MIND PSYCHOLOGICAL SERVICES, LLC
Practice address
447 Glenbrook Rd
Stamford, CT 06906-1820
Phone
(203) 560-8068
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Mary Cordeau, CAS, MA, LPC
Title
Psychotherapist/ Owner
Phone
(203) 560-8068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 001974 CT Primary

Addresses

Primary practice location

447 Glenbrook Rd
Stamford, CT 06906-1820

Mailing address

65 Glenbrook Rd Apt 11D
Stamford, CT 06902-2963

National Provider Directory

National Provider Directory

Locations

447 Glenbrook Rd
Stamford, CT 06906
Phone (203) 249-1184

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1770839391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLENBROOK RD APT 11D",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061820",
            "telephone_number": "203-560-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "CORDEAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/ OWNER",
        "authorized_official_telephone_number": "203-560-8068",
        "authorized_official_credential": "CAS, MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.