Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bass Nurse Practitioners in Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1003734948

Bass Nurse Practitioners in Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in New York, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

641 Lexington Ave Fl 14
New York, NY 10022-4503
Phone: (917) 923-0569
Fax: (469) 414-5292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1003734948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Shaw — Managing Member · (917) 575-5662
Other names Bass Wellness Center
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJune 16, 2026
Mailing address641 Lexington Ave Fl 14, New York, NY 10022-4503

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