Organization · Type 2 NPI

Nurtured Minds NP In Psychiatry PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Commack, NY

NPI number 1497540256 Active

Practice location

283 Commack Rd Ste LL1
Commack, NY 11725-3400

Call (631) 456-1126 Map

Fax (631) 693-6832

Mailing address

21 Fernwood Dr
Commack, NY 11725-4715

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Commack

Lauren Miceli CounselingMental Health Clinic/Center (Including Community Mental Health Center) Commack, NY NPI 1487358347

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NPI record

NPI: 1497540256
Entity type: Organization (Type 2)
Issued: Apr 11, 2025
Last updated: Apr 14, 2025
Status: Active

Other names

<unavail>
Nurtured Minds Psychiatry · doing business as
Nurtured Minds Psychiatry · doing business as

Authorized official

Sibimol A. Niravath, PMHNP-BC
President
(631) 456-1126

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497540256

Nurtured Minds NP In Psychiatry PLLC's National Provider Identifier is 1497540256, issued on Apr 11, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Commack, NY. The record was last updated on Apr 14, 2025.