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BEAUTIFUL MIND MEDICAL PC NPI 1790952570


NPI Information

NPI: 1790952570
Provider Name: BEAUTIFUL MIND MEDICAL, PC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
2218 KIMBALL ST
SUITE M5
BROOKLYN, NY
ZIP 11234
Phone: (718) 253-1087
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BEAUTIFUL MIND MEDICAL, PC is a prescribing (medical) psychologist in Brooklyn, NY. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. BEAUTIFUL MIND MEDICAL, PC NPI is 1790952570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2218 KIMBALL ST
SUITE M5
BROOKLYN, NY
ZIP 11234-103
Phone: (718) 253-1087
Fax: (718) 253-7774

The provider's authorized official is Valeriy Chernov .
The authorized official title is Phisician and has the following contact phone number (718) 253-1087.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 5/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)232633NEW YORKYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.