NPIMap

Organization Active NPI

Changing Minds

  • Psychologist
  • Northampton, MA
National Provider Identifier
1962857177
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8231 Issued in MA
Legal business name
CHANGING MINDS
Practice address
25 Main St
Suite 220
Northampton, MA 01060-3109
Phone
(413) 834-7012
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Amanda Mullen, PSY.D.
Title
Clinical Psychologist
Phone
(413) 834-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 8231 MA Primary

Addresses

Primary practice location

25 Main St
Suite 220
Northampton, MA 01060-3109

Mailing address

17 Long Ave
Greenfield, MA 01301-1230

National Provider Directory

National Provider Directory

Locations

25 Main St
Ste 220
Northampton, MA 01060
Phone (404) 441-2912

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1962857177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LONG AVE",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "address_2": "SUITE 220",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603109",
            "telephone_number": "413-834-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "413-834-7012",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.