Provider Demographics
NPI:1891434288
Name:GROWTH MINDSET PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:GROWTH MINDSET PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHILAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-459-0216
Mailing Address - Street 1:560 NORTHERN BLVD.
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:560 NORTHERN BLVD.
Practice Address - Street 2:SUITE 206
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-459-0216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)