MINDCARE AGENCY PC - NPI 1730557018 - Psychiatry & Neurology in Springfield, MA

Q: What is Mindcare Agency PC's NPI number?

The NPI number for Mindcare Agency PC is 1730557018. It was assigned to this organization in the NPPES registry on September 3, 2015.

Q: What is Mindcare Agency PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

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About Mindcare Agency Pc NPPES

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

MINDCARE AGENCY PC (NPI 1730557018) is a healthcare organization registered as an addiction medicine in Springfield, Massachusetts and active in the NPI registry since September 2015. The organization lists Omar Faruk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730557018

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NameMINDCARE AGENCY PC

Location Address125 LIBERTY ST, SUITE 205Springfield, MA 01103-1114

Mailing Address125 Liberty St, Suite 205Springfield, MA 01103-1114 · (413) 271-7136 · Fax (413) 271-7137

Phone(413) 271-7136

Fax(413) 271-7137

Organization SubpartNo

Authorized OfficialOmar FarukCeo · (413) 271-7136

Enumeration DateSeptember 3, 2015

Last NPPES UpdateNovember 18, 20193 updates tracked since enumeration

✔ NPI 1730557018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in MA · 223674

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

125 LIBERTY ST, Springfield, MA 01103

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Other Identifiers 1

Other223674MA · State License Number

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

Other Providers at the Same Location NPPES 20

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

DR. SUN TIEN LIN M.D.

Internal Medicine

125 LIBERTY ST, SUITE 204
SPRINGFIELD, MA 01103

Hampden County (413) 788-4321

KINAYSHA LIZBETH ORTA RODRIGUEZ

Counselor (Mental Health)