Mindful Integrative Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL INTEGRATIVE SERVICES

Practice address

1389 W Main St
Waterbury, CT 06708-3104

Phone

(203) 687-5668

Fax

(203) 729-4444

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By 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

Shirley Joseph, APRNNPI 1760921647

Title

Psychiatric Nurse Practitioner

Phone

(203) 687-5668

Specialties & licenses 1

Addresses

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.

• Shirley Joseph, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
  • NPI 1760921647
  NPD Authorized official

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1942881933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083104",
            "telephone_number": "203-687-5668",
            "fax_number": "203-729-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083104",
            "telephone_number": "203-687-5668",
            "fax_number": "203-729-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL INTEGRATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-687-5668",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D Millerick, MD
• Rachel A Milo, MSW,BSW
• Eliyahu Ezriel Milstein, DPT
• Yocheved Jessica Milstein, APRN
• Jeanette Mina-White
• Mindfulness & Healing Behavioral Health, LLC
• Mindscapes Counseling PLLC (Tides of Mind Counseling)
• Sydney Minella
• Shamika Minnifield
• Deanna Minto, MS,BA

• Psychiatric/Mental Health Nurse Practitioner in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.