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AGELESS MIND NY
NPI 1649752767
Counselor - Mental Health in Great Neck, NY

Active since September 05, 2018
55 NORTHERN BLVD STE 406, GREAT NECK, NY 11021(516) 726-0301 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2019, Sep 5, 2018 (2 updates tracked since 2018).

About Ageless Mind Ny NPPES

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

AGELESS MIND NY (NPI 1649752767) is a healthcare organization registered as a mental health in Great Neck, New York and active in the NPI registry since September 2018. The organization lists Izabelle Reyhanian Hakim, Owner, as its authorized official.

NPPES Registry Identity

NPI1649752767
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAGELESS MIND NY INC
Location Address55 NORTHERN BLVD STE 406Great Neck, NY 11021-4058
Mailing Address55 Northern Blvd Ste 406Great Neck, NY 11021-4058 · (516) 726-0301
Phone(516) 726-0301
Organization SubpartNo
Authorized OfficialIzabelle Reyhanian HakimOwner · (516) 726-0301
Enumeration DateSeptember 5, 2018
Last NPPES UpdateJanuary 10, 20192 updates tracked since enumeration
✔ NPI 1649752767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 078204-1
55 NORTHERN BLVD STE 406, Great Neck, NY 11021
Open in Google Maps ↗

Other Names 1

Doing Business AsAgeless Mind Ny

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

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

IZABELLE HAKIM LCSW PLLC
Social Worker (Clinical)
55 NORTHERN BLVD STE 406
GREAT NECK, NY 11021
Nassau County (516) 726-0301

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 Ageless Mind Ny Inc's NPI number?

The NPI number for Ageless Mind Ny Inc is 1649752767. It was assigned to this organization in the NPPES registry on September 5, 2018. The provider is doing business as Ageless Mind Ny.

Where is Ageless Mind Ny Inc located?

Ageless Mind Ny Inc is located at 55 Northern Blvd Ste 406, Great Neck, NY 11021. The listed phone number is (516) 726-0301.

What is Ageless Mind Ny Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ageless Mind Ny Inc was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.