MIND RESTORATION LLC NPI 1336912732

NPI Information

NPI: 1336912732
Provider Name: MIND RESTORATION LLC
Classification: Psychiatry & Neurology - 2084P0005X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
418 BROADWAY STE Y
ALBANY, NY
ZIP 12207
Phone: (833) 294-6969
Get Directions

MIND RESTORATION LLC is a neurodevelopmental disabilities psychiatry neurology in Albany, NY. The provider is a neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. MIND RESTORATION LLC NPI is 1336912732. The provider is registered as an organization entity type.

The provider's business location address is:

418 BROADWAY STE Y
ALBANY, NY
ZIP 12207-922
Phone: (833) 294-6969

The provider's authorized official is Latisha Myrie .
The authorized official title is Ceo and has the following contact phone number (833) 294-6969.

The enumeration date for this NPI number is 11/7/2023 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
4	2084P0005X	Psychiatry & Neurology	Neurodevelopmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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