DIVINE MENTAL HEALTH TREATMENT
NPI 1053902569
Nurse Practitioner - Psychiatric/Mental Health in Middletown, NY

Q: What is Divine Mental Health Treatment's NPI number?

The NPI number for Divine Mental Health Treatment is 1053902569. It was assigned to this organization in the NPPES registry on January 27, 2021.

Q: What is Divine Mental Health Treatment's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 27, 2021

27 CARPENTER AVE STE 7, MIDDLETOWN, NY 10940(452) 388-8538(646) 619-4083 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Divine Mental Health Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE MENTAL HEALTH TREATMENT (NPI 1053902569) is a healthcare organization registered as a psychiatric/mental health in Middletown, New York and active in the NPI registry since January 2021. The organization lists Debra Mayers, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1053902569

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameDIVINE MENTAL HEALTH TREATMENT

Location Address27 CARPENTER AVE STE 7Middletown, NY 10940-2401

Mailing Address27 Carpenter Ave Ste 7Middletown, NY 10940-2401 · (845) 238-8853 · Fax (646) 619-4083

Phone(452) 388-8538

Fax(646) 619-4083

Organization SubpartNo

Authorized OfficialDebra MayersPsychiatric Nurse Practitioner · (845) 238-8853

Enumeration DateJanuary 27, 2021

Last NPPES UpdateMarch 25, 2022

NPPES CertifiedMarch 25, 2022

✔ NPI 1053902569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

27 CARPENTER AVE STE 7, Middletown, NY 10940

Open in Google Maps ↗

Other Names 1

Doing Business AsDivine Mental Health Treatment

Other Identifiers 1

Medicaid04672304NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Mental Health Treatment's NPI number?

The NPI number for Divine Mental Health Treatment is 1053902569. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Divine Mental Health Treatment located?

Divine Mental Health Treatment is located at 27 Carpenter Ave Ste 7, Middletown, NY 10940. The listed phone number is (452) 388-8538.

What is Divine Mental Health Treatment's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Divine Mental Health Treatment was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.