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

Mind Body Medical Services, PC

Organization Mental Health Counselor · NPI 1831823749

Mind Body Medical Services, PC provides Mental Health Counselor services in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1136 5th Ave Apt 7B
New York, NY 10128-0122
Phone: (202) 327-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Mental Health Counselor Taxonomy 101YM0800X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1831823749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Baggeroer — Owner · (603) 793-9263
NPI enumeratedJuly 15, 2022
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address1136 5th Ave Apt 7b, New York, NY 10128-0122

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