| Organization Name: | THE HEALTHY MIND PSYCHIATRIC SERVICES PC |
| NPI Number: | 1063785814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAH NAWAZ (MEDICAL DIRECTOR) |
| Mailing Address: | 900 Straits Tpke Suite D Middlebury |
| State: | CT US |
| Postal Code: | 067622800 |
| Phone Number: | 2032705575 |
| Fax Number: | 2038830365 |
| NPI Enumeration Date: | 02/09/2012 |
| NPI Last Update Date: | 11/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 039250 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |