MINDSET PSYCHIATRY LLC
NPI 1972375814
Nurse Practitioner - Psychiatric/Mental Health in Stamford, CT

Active since October 24, 2023
1234 SUMMER ST STE 302, STAMFORD, CT 06905(203) 981-8614 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2024, Oct 24, 2023 (2 updates tracked since 2023).

About Mindset Psychiatry Llc NPPES

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

MINDSET PSYCHIATRY LLC (NPI 1972375814) is a healthcare organization registered as a psychiatric/mental health in Stamford, Connecticut and active in the NPI registry since October 2023. The organization lists Ketaki Desai, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1972375814
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDSET PSYCHIATRY LLC
Location Address1234 SUMMER ST STE 302Stamford, CT 06905-5510
Mailing Address1234 Summer St Ste 302Stamford, CT 06905-5510 · (203) 981-8614
Organization SubpartNo
Authorized OfficialKetaki DesaiPmhnp · (203) 981-8614
Enumeration DateOctober 24, 2023
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1972375814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1234 SUMMER ST STE 302, Stamford, CT 06905

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindset Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindset Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1669136255
1234 SUMMER ST STE 302
Stamford, CT 06905
(203) 424-8003
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mindset Psychiatry LLC's NPI number?

The NPI number for Mindset Psychiatry LLC is 1972375814. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Mindset Psychiatry LLC located?

Mindset Psychiatry LLC is located at 1234 Summer St Ste 302, Stamford, CT 06905. The listed phone number is (203) 981-8614.

What is Mindset Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mindset Psychiatry LLC enrolled in Medicare?

Yes. Mindset Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindset Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindset Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindset Psychiatry LLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.