Active NPI
Mindfully Resilient LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
National Provider Identifier
1992397590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MINDFULLY RESILIENT LLC
- Practice address
- 61 Martense St Apt 6J
Brooklyn, NY 11226-3263 - Phone
- (706) 372-2428
- NPI assigned
- Feb 5, 2021
- 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
- Deena Patel, LCSW
- Title
- Director
- Phone
- (706) 372-2428
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
61 Martense St Apt 6J
Brooklyn, NY 11226-3263
Mailing address
61 Martense St Apt 6J
Brooklyn, NY 11226-3263
Phone (706) 372-2428
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- New York, NY
- NPI 1275067373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1992397590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MARTENSE ST APT 6J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112263263",
"telephone_number": "706-372-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MARTENSE ST APT 6J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112263263",
"telephone_number": "706-372-2428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFULLY RESILIENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DEENA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "706-372-2428",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Mindful Milestones Services Inc
- Mindful Moments Mental Health Counseling, PLLC
- Mindful Motion Physical Therapy PLLC
- Mindful Music Psychotherapy Creative Arts Therapy, PLLC
- Mindful Pathways LLC
- Christine Mindicino
- Medea Mindikauri-Burkley, CNM
- Mindin Physical Therapy PLLC
- Rachel Mindin, OD
- Svetlana Mindin, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.