GENUINE MIND PSYCHOLOGY LLC NPI 1346059102

NPI Information

  • NPI: 1346059102
  • Provider Name: GENUINE MIND PSYCHOLOGY, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1559 POST RD STE 11
    FAIRFIELD, CT
    ZIP 06824
  • Phone: (203) 293-8634

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NPI Details

GENUINE MIND PSYCHOLOGY, LLC is a mental health (including community mental health center) clinic center in Fairfield, CT. GENUINE MIND PSYCHOLOGY, LLC NPI is 1346059102. The provider is registered as an organization entity type.

The provider's business location address is:

1559 POST RD STE 11
FAIRFIELD, CT
ZIP 06824-933
Phone: (203) 293-8634

The provider's authorized official is Courtney Clark .
The authorized official title is Psychologist and has the following contact phone number (203) 293-8634.

The enumeration date for this NPI number is 1/6/2025 and was last updated on 1/6/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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: 11/21/2025

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