Provider Demographics
NPI:1144907866
Name:MINDFUL PSYCHIATRY LLC
Entity type:Organization
Organization Name:MINDFUL PSYCHIATRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-516-0346
Mailing Address - Street 1:116 SILVERMINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-2033
Mailing Address - Country:US
Mailing Address - Phone:203-516-0346
Mailing Address - Fax:203-349-2589
Practice Address - Street 1:500 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4431
Practice Address - Country:US
Practice Address - Phone:203-516-0346
Practice Address - Fax:203-349-2589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty