Living Well Mindfully, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIVING WELL MINDFULLY, INC

Practice address

358 Veterans Memorial Hwy Ste 12
Commack, NY 11725-4326

Phone

(631) 268-4148

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melissa M Schroeder, PSYDNPI 1265987929

Title

Owner

Phone

(631) 268-4148

Specialties & licenses 1

Addresses

Other names 1

• Mind Body Psychology Doing business as

Practitioners 1

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

• Melissa M Schroeder, PSY.D.

  • Mental Health Counselor
  • Patchogue, NY
  • NPI 1265987929
  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1912590977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 12",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "631-268-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL MINDFULLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-268-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Ann Vecchione LCSW PLLC
• Alexa Litwak
• Gaston Mike Liu, DPM
• Ke Hua Liu, RPH
• Live My Life Psychology, PLLC
• Emma Lobiondo, MS, OTR/L
• Stephen Lobiondo
• Local Medical Health Services, P.C.
• Taylor Paige Logerfo
• Laura Loiacono, MS CCC/SLP

• Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.