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THE HEALTHY MIND PSYCHIATRIC SERVICES PC NPI 1063785814


NPI Information

NPI: 1063785814
Provider Name: THE HEALTHY MIND PSYCHIATRIC SERVICES PC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
900 STRAITS TPKE
SUITE D
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 270-5575
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THE HEALTHY MIND PSYCHIATRIC SERVICES PC is a psychiatry psychiatry neurology in Middlebury, CT. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. THE HEALTHY MIND PSYCHIATRIC SERVICES PC NPI is 1063785814. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

900 STRAITS TPKE
SUITE D
MIDDLEBURY, CT
ZIP 06762-800
Phone: (203) 270-5575
Fax: (203) 883-0365

The provider's authorized official is Shah Nawaz .
The authorized official title is Medical Director and has the following contact phone number (203) 270-5575.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 11/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor039250CONNECTICUTNo
2101YP2500XCounselorProfessional039250CONNECTICUTNo
3101YM0800XCounselorMental Health039250CONNECTICUTNo
4104100000XSocial Worker039250CONNECTICUTNo
51041C0700XSocial WorkerClinical039250CONNECTICUTNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health039250CONNECTICUTNo
72084P0800XPsychiatry & NeurologyPsychiatry039250CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D100065826MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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