BASS WELLNESS LLC NPI 1578280293

NPI Information

NPI: 1578280293
Provider Name: BASS WELLNESS LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1180 6TH AVE FL 8
NEW YORK, NY
ZIP 10036
Phone: (917) 923-0569
Get Directions

BASS WELLNESS LLC is a psychiatric/mental health nurse practitioner in New York, NY. BASS WELLNESS LLC NPI is 1578280293. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1180 6TH AVE FL 8
NEW YORK, NY
ZIP 10036-401
Phone: (917) 923-0569
Fax: (469) 414-5292

The provider's authorized official is Justin William Shaw .
The authorized official title is Co-founder and has the following contact phone number (917) 575-5662.

The enumeration date for this NPI number is 10/24/2022 and was last updated on 10/24/2022.

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
1	363L00000X	Nurse Practitioner				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »