Organization Active NPI

Arise Wellness Psychology PLLC

  • Psychologist
  • Mineola, NY
National Provider Identifier
1861066813
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ARISE WELLNESS PSYCHOLOGY PLLC
Practice address
55 Willis Ave # 1
Mineola, NY 11501-4408
Phone
(347) 433-5382
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Dr. Sadia R. Chaudhury, PH.D.NPI 1447508783
Title
Psychologist
Phone
(917) 251-3557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

55 Willis Ave # 1
Mineola, NY 11501-4408

Mailing address

55 Willis Ave # 1
Mineola, NY 11501-4408
Phone (347) 433-5382

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schaudhury@arisewellnesspsychology.com Direct

National Provider Directory

National Provider Directory

Locations

55 Willis Ave
#1
Mineola, NY 11501
Phone (347) 433-5382

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": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1861066813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WILLIS AVE # 1",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014408",
            "telephone_number": "347-433-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WILLIS AVE # 1",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014408",
            "telephone_number": "347-433-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE WELLNESS PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "CHAUDHURY",
        "authorized_official_first_name": "SADIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-251-3557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schaudhury@arisewellnesspsychology.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "55 Willis Ave # 1",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.