Healthcare Provider Details

I. General information

NPI: 1437167053
Provider Name (Legal Business Name): MINDY SUSAN HERSH PSY D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 POST RD W FL 1
WESTPORT CT
06880-4208
US

IV. Provider business mailing address

64 POST RD W FL 1
WESTPORT CT
06880-4208
US

V. Phone/Fax

Practice location:
  • Phone: 203-292-0082
  • Fax:
Mailing address:
  • Phone: 203-292-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number012884
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number002998
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: