Mindful Therapy Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL THERAPY CENTER, LLC

Doing business as

Mindful Therapy

Practice address

105 Evesboro Medford Rd
Suite M
Marlton, NJ 08053-3865

Phone

(609) 353-5608

Fax

(609) 798-0092

NPI assigned

Apr 30, 2013

Last updated

Nov 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Vogel

Title

Administrative Director

Phone

(609) 353-5608

Specialties & licenses 1

Addresses

Other names 1

• Mindful Therapy Doing business as

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1861837122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-353-5608",
            "fax_number": "609-798-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-353-5608",
            "fax_number": "609-798-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "609-353-5608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Miller, PSY.D.
• Scott L Miller, M.D.
• Mind Your Mental Health Services LLC
• Mindful Health Tbi Center Inc
• Mindful Living Counseling and Consulting
• Mindwave Diagnostics
• Raema Mir, M.D.
• John C. Mirmanesh, M.D.
• Shahin Michael Mirmanesh, M.D.
• Shahram Jay Mirmanesh, MD, MBA

• Professional Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.