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THE MIA CENTER LLC
NPI 1679242002
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Medford, NY

Active since September 09, 2021
12 PLATINUM CT STE C, MEDFORD, NY 11763(631) 996-4430 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About The Mia Center Llc NPPES

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

THE MIA CENTER LLC (NPI 1679242002) is a healthcare organization registered as a psychiatric/mental health, adult in Medford, New York and active in the NPI registry since September 2021. The organization lists Karen Constance Field, Owner, as its authorized official.

NPPES Registry Identity

NPI1679242002
Entity TypeOrganization
Primary Taxonomy364SP0809X
Legal Business NameTHE MIA CENTER LLC
Location Address12 PLATINUM CT STE CMedford, NY 11763-2247
Mailing Address12 Platinum Ct Ste CMedford, NY 11763-2247 · (631) 996-4430
Phone(631) 996-4430
Organization SubpartNo
Authorized OfficialKaren Constance FieldOwner · (631) 996-4430
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1679242002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
12 PLATINUM CT STE C, Medford, NY 11763
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Other Identifiers 1

Medicaid1497902506NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 The Mia Center LLC's NPI number?

The NPI number for The Mia Center LLC is 1679242002. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is The Mia Center LLC located?

The Mia Center LLC is located at 12 Platinum Ct Ste C, Medford, NY 11763. The listed phone number is (631) 996-4430.

What is The Mia Center LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

When was this NPI record last updated?

The NPPES record for The Mia Center LLC was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.