Organization Active NPI

Mindful Healing LLC

  • Clinical Social Worker
  • Oakville, CT
National Provider Identifier
1770940629
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7122 Issued in CT
Legal business name
MINDFUL HEALING LLC
Practice address
9 Ridge CT
Oakville, CT 06779-2406
Phone
(860) 387-5689
NPI assigned
Jan 23, 2016
Last updated
Jan 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

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

Authorized official

Name
Lianna Tsangarides, LCSW
Title
Owner
Phone
(860) 387-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 7122 CT Primary

Addresses

Primary practice location

9 Ridge CT
Oakville, CT 06779-2406

Mailing address

43 Sherman Hill Rd
BLG D, Suite 104
Woodbury, CT 06798-3651
Phone (860) 387-5689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1770940629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SHERMAN HILL RD",
            "address_2": "BLG D, SUITE 104",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983651",
            "telephone_number": "860-387-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RIDGE CT",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067792406",
            "telephone_number": "860-387-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "TSANGARIDES",
        "authorized_official_first_name": "LIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-387-5689",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; 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.