| Minded, Inc | |
|
122 Grand St New York NY 10013-2614 | |
| (909) 442-0618 | |
| Not Available |
| Full Name | Minded, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 122 Grand St, New York, New York |
| Authorized Official Name and Position | Elana Lisch (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 9094420618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minded, Inc 122 Grand St New York NY 10013-2614 Ph: () - | Minded, Inc 122 Grand St New York NY 10013-2614 Ph: (909) 442-0618 |
| NPI Number | 1295460707 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295460707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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