Provider Demographics
NPI:1861389892
Name:MINDFUL HEALTH NP IN PSYCHIATRY PC
Entity type:Organization
Organization Name:MINDFUL HEALTH NP IN PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOZIUS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:718-807-7008
Mailing Address - Street 1:PO BOX 640174
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-0174
Mailing Address - Country:US
Mailing Address - Phone:718-807-7008
Mailing Address - Fax:
Practice Address - Street 1:6 GRAMATAN AVE STE 606
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3208
Practice Address - Country:US
Practice Address - Phone:201-580-6642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty