Provider Demographics
NPI:1558188268
Name:MY HEALTHY MIND INC
Entity type:Organization
Organization Name:MY HEALTHY MIND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEM
Authorized Official - Middle Name:
Authorized Official - Last Name:POSSMOZER
Authorized Official - Suffix:
Authorized Official - Credentials:MPSY
Authorized Official - Phone:781-420-3291
Mailing Address - Street 1:58 CLARENDON ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-7614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:345 NORTH AVE # 2
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2306
Practice Address - Country:US
Practice Address - Phone:781-600-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)