Active NPI
Mindset Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Stamford, CT
National Provider Identifier
1972375814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDSET PSYCHIATRY LLC
- Practice address
- 1234 Summer St Ste 302
Stamford, CT 06905-5510 - Phone
- (203) 981-8614
- NPI assigned
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ketaki Desai, PMHNP
- Title
- Pmhnp
- Phone
- (203) 981-8614
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1234 Summer St Ste 302
Stamford, CT 06905-5510
Mailing address
1234 Summer St Ste 302
Stamford, CT 06905-5510
Phone (203) 981-8614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1234 Summer St
Ste 302
Stamford, CT 06905
Phone (203) 249-7738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stamford, CT
- NPI 1669136255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1972375814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 SUMMER ST STE 302",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055510",
"telephone_number": "203-981-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 SUMMER ST STE 302",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055510",
"telephone_number": "203-981-8614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDSET PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "KETAKI",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "203-981-8614",
"authorized_official_credential": "PMHNP"
},
"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": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.