Organization Active NPI

Mindfulness Psychological Services PC

  • Clinical Psychologist
  • Forest Hills, NY
National Provider Identifier
1952831125
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDFULNESS PSYCHOLOGICAL SERVICES PC
Practice address
7050 Austin St Ste 108
Forest Hills, NY 11375-4746
Phone
(347) 449-0165
NPI assigned
Jun 19, 2017
Last updated
Jun 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Daisy Lizette Salvia, PSY.D.
Title
President/Sole Owner
Phone
(347) 449-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

7050 Austin St Ste 108
Forest Hills, NY 11375-4746

Mailing address

5608 Van Cleef St
Corona, NY 11368-4026
Phone (347) 449-0165

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1952831125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 VAN CLEEF ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684026",
            "telephone_number": "347-449-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 AUSTIN ST STE 108",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754746",
            "telephone_number": "347-449-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULNESS PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "SALVIA",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "LIZETTE",
        "authorized_official_title_or_position": "PRESIDENT/SOLE OWNER",
        "authorized_official_telephone_number": "347-449-0165",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.