MINDFUL NP PSYCHIATRY PLLC NPI 1558178764

NPI Information

  • NPI: 1558178764
  • Provider Name: MINDFUL NP PSYCHIATRY PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5 LAURA RD
    MONROE, NY
    ZIP 10950
  • Phone: (845) 659-4508

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NPI Details

MINDFUL NP PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Monroe, NY. MINDFUL NP PSYCHIATRY PLLC NPI is 1558178764. The provider is registered as an organization entity type.

The provider's business location address is:

5 LAURA RD
MONROE, NY
ZIP 10950-206
Phone: (845) 659-4508
Fax: (845) 654-8645

The provider's authorized official is Cassandra Fortune .
The authorized official title is Pmhnp-c and has the following contact phone number (845) 659-4508.

The enumeration date for this NPI number is 12/12/2024 and was last updated on 6/21/2025.

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 License Number License State Primary
1261Q00000XClinic/CenterNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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