MINDFULNESS AND CHANGE GROUP LLC NPI 1497261481

NPI Information

  • NPI: 1497261481
  • Provider Name: MINDFULNESS AND CHANGE GROUP, LLC
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Organization
  • Doing Business As: THE MINDFULNESS & CHANGE GROUP
  • Address: 40 SPRING ST STE 215
    WATERTOWN, MA
    ZIP 02472
  • Phone: (617) 690-9645

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NPI Details

MINDFULNESS AND CHANGE GROUP, LLC is a cognitive and behavioral psychologist in Watertown, MA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. MINDFULNESS AND CHANGE GROUP, LLC NPI is 1497261481. The provider is registered as an organization entity type.
The provider Is Doing Business As The Mindfulness & Change Group.

The provider's business location address is:

40 SPRING ST STE 215
WATERTOWN, MA
ZIP 02472-474
Phone: (617) 690-9645
Fax: (844) 238-9457

The provider's authorized official is Alexander Solodyna .
The authorized official title is Executive Director/founder and has the following contact phone number (617) 690-9645.

The enumeration date for this NPI number is 12/28/2017 and was last updated on 6/3/2022.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3103TB0200XPsychologistCognitive & BehavioralYes

What is NPI?

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This page was last updated on: 3/30/2025

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