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

Mindful Wellness Nurse Practitioner in Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1013840289

Mindful Wellness Nurse Practitioner in Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Levittown, 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

14 Thrush Ln
Levittown, NY 11756-3211
Phone: (631) 475-8407
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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 number1013840289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syed Tahir — Owner · (646) 620-1010
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address14 Thrush Ln, Levittown, NY 11756-3211

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