Organization · Type 2 NPI

Mind Matters-Nurse Practitioner In Psychiatry, PLLC

Psychiatric/Mental Health Nurse Practitioner · Staten Island, NY

NPI number 1417879651 Active

Practice location

1360 Hylan Blvd
Staten Island, NY 10305-1922

Fax (949) 909-2221

Mailing address

1885 Hylan Blvd Ste 1055
Staten Island, NY 10305-2110

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1417879651

Mind Matters-Nurse Practitioner In Psychiatry, PLLC's National Provider Identifier is 1417879651, issued on Jul 28, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Staten Island, NY. The record was last updated on Jul 28, 2026.