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MIND BODY AUTISM, LLC
NPI 1619473790
Psychologist - Clinical in Carmel, IN

Active since April 05, 2018
12354 HANCOCK ST, CARMEL, IN 46032(201) 452-6613 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind Body Autism, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY AUTISM, LLC (NPI 1619473790) is a healthcare organization registered as a clinical in Carmel, Indiana and active in the NPI registry since April 2018. The organization lists Teri Krakovich, Owner, as its authorized official.

NPPES Registry Identity

NPI1619473790
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMIND BODY AUTISM, LLC
Location Address12354 HANCOCK STCarmel, IN 46032-5807
Mailing Address11831 Harvard LnCarmel, IN 46032-4663 · (201) 452-6613
Phone(201) 452-6613
Organization SubpartNo
Authorized OfficialTeri KrakovichOwner · (201) 452-6613
Enumeration DateApril 5, 2018
✔ NPI 1619473790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12354 HANCOCK ST, Carmel, IN 46032
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALIHA AMIR
Behavior Technician
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 503-1296
KEITH JONES
Behavior Technician
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 503-1296
AUTISM PARENT CARE, LLC
Behavior Analyst
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 503-1296
SPRINGWOOD ACADEMY INC
Behavior Analyst
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 503-1296
HILLORI LAYNE WANNINGER BCBA
Behavior Analyst
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 503-1296
AUDREY MUNFORD
Behavior Technician
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 699-6767
BEVERLY LYNN MCGUIRE RBT
Behavior Technician
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 669-6767
MONYOK JAY ZHONG RBT
Behavior Technician
12354 HANCOCK ST
CARMEL, IN 46032
Hamilton County (317) 503-1296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body Autism, LLC's NPI number?

The NPI number for Mind Body Autism, LLC is 1619473790. It was assigned to this organization in the NPPES registry on April 5, 2018.

Where is Mind Body Autism, LLC located?

Mind Body Autism, LLC is located at 12354 Hancock St, Carmel, IN 46032. The listed phone number is (201) 452-6613.

What is Mind Body Autism, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mind Body Autism, LLC was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.