Mindful LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL LLC

Practice address

747 Aquidneck Ave Unit 2H2
Middletown, RI 02842-7265

Phone

(401) 787-8997

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David Hatch, LICSWNPI 1285062554

Title

Owner/ Therapist

Phone

(401) 787-8997

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Hatch, LICSW

  • Clinical Social Worker
  • Middletown, RI
  • NPI 1285062554

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1952015448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COCHRAN ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932223",
            "telephone_number": "401-787-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 AQUIDNECK AVE UNIT 2H2",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427265",
            "telephone_number": "401-787-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "401-787-8997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Ann Miller, LICSW
• Amy Michelle Minick, RN
• Stanson Moody, D.M.D
• Richard Vincent Morgera, MD
• Kathleen Morrill, OTRL
• Ann-Marie Morrison

• All providers in Middletown, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.