| Mindwell Psychology, LLP | |
|
950 Danby Rd Ste 202f Ithaca NY 14850-5714 | |
| (802) 578-4379 | |
| Not Available |
| Full Name | Mindwell Psychology, LLP |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 950 Danby Rd Ste 202f, Ithaca, New York |
| Authorized Official Name and Position | Aaron Rakow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8025784379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwell Psychology, LLP 950 Danby Rd Ste 202 Ithaca NY 14850-5714 Ph: (607) 260-3100 | Mindwell Psychology, LLP 950 Danby Rd Ste 202f Ithaca NY 14850-5714 Ph: (802) 578-4379 |
| NPI Number | 1255944377 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255944377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (NU) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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