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

Mind Matters-Nurse Practitioner in Psychiatry, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1417879651

Mind Matters-Nurse Practitioner in Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Staten Island, 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

1360 Hylan Blvd
Staten Island, NY 10305-1922
Phone: (347) 766-2155
Fax: (949) 909-2221
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 number1417879651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Callow — Owner/Managing Member · (347) 766-2155
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address1885 Hylan Blvd Ste 1055, Staten Island, NY 10305-2110

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