Organization · Type 2 NPI

Mind Grove Psychology PLLC

Clinic/Center · New York, NY

NPI number 1609723543 Active

Practice location

220 5th Ave # 11th
New York, NY 10001-7708

Call (339) 223-4507 Map

Mailing address

300 W 122nd St Apt 11C
New York, NY 10027-5376

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1609723543

Mind Grove Psychology PLLC's National Provider Identifier is 1609723543, issued on Mar 11, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in New York, NY. The record was last updated on Mar 11, 2026.