# MINDSPAN MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659264646
- **Authorized official:** JENNIFER HARLESS (DIRECTOR OF RCM)
- **Authorized official phone:** (508) 494-8275

## Contact information

- **Practice address:** 99 CONIFER HILL DR, DANVERS, MA 01923-1193
- **Practice address phone:** (469) 772-9400
- **Mailing address:** 169 MADISON AVE STE 90030, NEW YORK, NY 10016-5101
- **Mailing address phone:** (978) 850-3914
- **Mailing address fax:** (646) 365-0517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2025
- **Last updated:** 06/30/2026