Organization Active NPI

Mindcare LLC

  • Marriage & Family Therapist
  • Trumbull, CT
National Provider Identifier
1831954650
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINDCARE LLC
Practice address
6540 Main St
Trumbull, CT 06611-1313
Phone
(203) 520-1028
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Daniella Camporeale, LMFTNPI 1285416420
Title
Owner
Phone
(203) 520-1028

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

6540 Main St
Trumbull, CT 06611-1313

Mailing address

6540 Main St
Trumbull, CT 06611-1313

National Provider Directory

National Provider Directory

Locations

6540 Main St
Trumbull, CT 06611
Phone (203) 520-1028

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1831954650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111313",
            "telephone_number": "203-520-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "CAMPOREALE",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-520-1028",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.