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

Wise Mind Living Psychiatry PC

Organization Psychiatry Physician · NPI 1174123327

Wise Mind Living Psychiatry PC provides Psychiatry Physician services in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 W 58th St Ste 313
New York, NY 10019-1821
Phone: (212) 579-3639
Fax: (917) 725-8234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1174123327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wilson — Owner · (212) 579-3639
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address330 W 58th St Ste 313, New York, NY 10019-1821

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