Inga Korsgaard LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INGA KORSGAARD LLC

Practice address

145 Waterman St
Providence, RI 02906-2128

Phone

(347) 674-1136

NPI assigned

Sep 21, 2023

Organization subpart

Yes

Parent organization

INGA KORSGAARD LLCAs reported in NPPES

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

Authorized official

Name

Dr. Inga Korsgaard, PHDNPI 1063012318

Title

Owner, Clinical Director

Phone

(347) 674-1136

Specialties & licenses 1

Addresses

Other names 1

• Mellem Clinic Doing business as

Part of

Inga Korsgaard LLC

Practitioners 1

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

• Inga Korsgaard, PHD

  • Psychologist
  • Providence, RI
  • NPI 1063012318
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1881472710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JOHN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061043",
            "telephone_number": "347-549-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062128",
            "telephone_number": "347-674-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGA KORSGAARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INGA KORSGAARD LLC",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "KORSGAARD",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "347-674-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mellem Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cailey Indech, DO
• Independence Health Services, LLC
• Fransisca Indraswari, MD
• Infinitely Imbued LLC
• Infom Healthcare Agency
• Amy Marie Ingargiola, PHARMD, CDOE
• Randall Ingham, M.D.
• Tyler Andrew Ingham, AGACNP
• James W. Ingraham, MD
• Katherine Mariah Ingram, PHD, LP

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.