Active NPI
Mind Body Medical Services, PC
- Adult Medicine Physician
- New York, NY
National Provider Identifier
1831823749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- MIND BODY MEDICAL SERVICES, PC
- Practice address
- 1136 5TH Ave Apt 7B
New York, NY 10128-0122 - Phone
- (202) 327-3100
- NPI assigned
- Jul 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Baggeroer, MD
- Title
- Owner
- Phone
- (603) 793-9263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Medicine Physician | 207QA0505X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
1136 5TH Ave Apt 7B
New York, NY 10128-0122
Mailing address
1136 5TH Ave Apt 7B
New York, NY 10128-0122
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Exeter, NH
- NPI 1588676084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1831823749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 5TH AVE APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 5TH AVE APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280122",
"telephone_number": "202-327-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND BODY MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-15",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "BAGGEROER",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-793-9263",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Mind and Body Occupational Therapy, P.C.
- Mind and Body Wellness Services LLC
- Mind Base Psychotherapy LCSW PLLC
- Mind Body Medical Services, P.C. of Co
- Mind Body Medical Services, P.C., of NJ
- Mind Bridge Health NP in Psychiatry
- Mind Bridge Wellness
- Mind Care NP in Psychiatry PLLC
- Mind Clear Integrative Psychological Psychotherapy
- Mind Glow Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.