National Provider Identifier

Mindful Psychology

Mindful Psychology is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 510-2221.

NPI 1861138521Rochester, NYClinical Psychologist

Profile Overview

NPI
1861138521
Provider Type
Organization
Primary Specialty
Clinical Psychologist
Enumeration Date
May 06, 2022
Last Updated
May 06, 2022

Practice Location

  • 600 Park Avenue
  • Carriage House
  • Rochester, NY 14607

Phone: (585) 510-2221

Specialties

  • Clinical Psychologist (103TC0700X)
  • Clinical Social Worker (1041C0700X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1861138521
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Mindful Psychology
Mailing Street Address
600 Park Avenue
Mailing Address Line 2
Carriage House
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607
Mailing Country
US
Mailing Phone
(585) 510-2221
Practice Street Address
600 Park Avenue
Practice Address Line 2
Carriage House
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607
Practice Country
US
Practice Phone
(585) 510-2221
Enumeration Date
May 06, 2022
Last Updated
May 06, 2022
Authorized Official Last Name
Mannion
Authorized Official First Name
Christina
Authorized Official Middle Name
Rose
Authorized Official Title
Owner
Authorized Official Phone
(585) 510-2221
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
LICENSED PSYCHOLOGIS
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Certification Date
April 21, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)