Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Autism, LLC

Organization Clinical Psychologist · NPI 1619473790

Mind Body Autism, LLC is a Clinical Psychologist in Carmel, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12354 Hancock St
Carmel, IN 46032-5807
Phone: (201) 452-6613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1619473790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Krakovich — Owner · (201) 452-6613
NPI enumeratedApril 5, 2018
Last updated in NPPESApril 5, 2018
Mailing address11831 Harvard Ln, Carmel, IN 46032-4663

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