National Provider Identifier Database

HARVEST MIND NP IN PSYCHIATRY PLLC
Psychiatric/Mental Health


Contact Information

HARVEST MIND NP IN PSYCHIATRY PLLC
400 RELLA BOULEVARD
SUITE 207-137
MONTEBELLO, NY10901
Phone: 646-991-7285
Fax: 866-487-9572
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for HARVEST MIND NP IN PSYCHIATRY PLLC

NPI Number 1215759204
Legal business name
LBN
HARVEST MIND NP IN PSYCHIATRY PLLC
Authorized official SAMANTHA VASSOR - (PSYCH NURSE PRACTITIONER, OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/30/2024
Last updated 08/08/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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