NPIMap

Organization Active NPI

The Mindwell Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Canaan, CT
National Provider Identifier
1912688193
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE MINDWELL CENTER, LLC
Practice address
45 Pine Street Suite Numbers 4a & 6a
New Canaan, CT 06840
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Mrs. Devon Bickford Suozzi, LCSWNPI 1912298894
Title
Founder/Supervising Psychotherapist
Phone
(203) 594-7677

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

45 Pine Street Suite Numbers 4a & 6a
New Canaan, CT 06840

Mailing address

45 Pine Street Suite Numbers 4a & 6a
New Canaan, CT 06840
Phone (203) 801-8180

Other identifiers 1

IdentifierTypeStateIssuer
1912298894OtherNPI

National Provider Directory

National Provider Directory

Locations

45 Pine St
#4A
New Canaan, CT 06840

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1912688193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PINE STREET SUITE NUMBERS 4A & 6A",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840",
            "telephone_number": "203-801-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PINE STREET SUITE NUMBERS 4A & 6A",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MINDWELL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "SUOZZI",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "BICKFORD",
        "authorized_official_title_or_position": "FOUNDER/SUPERVISING PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-594-7677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912298894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.