MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC
NPI 1174380141
Nurse Practitioner - Adult Health in Brooklyn, NY

Q: What is Mindful Care Np In Psychiatry And Np In Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since March 05, 2024

571 E 19TH ST APT 6B, BROOKLYN, NY 11226(929) 322-1924 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2025, Mar 12, 2025, Nov 13, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Mindful Care Np In Psychiatry And Np In Adult Health Pc NPPES

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

MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC (NPI 1174380141) is a healthcare organization registered as an adult health in Brooklyn, New York and active in the NPI registry since March 2024. The organization lists Ericka Deadwyler-gourgue, Owner, as its authorized official.

NPPES Registry Identity

NPI1174380141

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameMINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC

Location Address571 E 19TH ST APT 6BBrooklyn, NY 11226-7674

Mailing Address571 E 19th St Apt 6bBrooklyn, NY 11226-7674 · (929) 274-5188 · Fax (929) 274-5330

Phone(929) 322-1924

Organization SubpartNo

Authorized OfficialEricka Deadwyler-gourgueOwner · (929) 274-5188

Enumeration DateMarch 5, 2024

Last NPPES UpdateMay 12, 20254 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1174380141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

571 E 19TH ST APT 6B, Brooklyn, NY 11226

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Care Np In Psychiatry And Np In Adult Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Care Np In Psychiatry And Np In Adult Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ericka Deadwyler-Gourgue, NURSE PRACTITIONER

Nurse Practitioner

NPI 1689154130

571 E 19TH ST APT 6B
Brooklyn, NY 11226

(929) 378-0430

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mindful Care Np In Psychiatry And Np In Adult Health PC's NPI number?

The NPI number for Mindful Care Np In Psychiatry And Np In Adult Health PC is 1174380141. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Mindful Care Np In Psychiatry And Np In Adult Health PC located?

Mindful Care Np In Psychiatry And Np In Adult Health PC is located at 571 E 19th St Apt 6B, Brooklyn, NY 11226. The listed phone number is (929) 322-1924.

What is Mindful Care Np In Psychiatry And Np In Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mindful Care Np In Psychiatry And Np In Adult Health PC enrolled in Medicare?

Yes. Mindful Care Np In Psychiatry And Np In Adult Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Care Np In Psychiatry And Np In Adult Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Care Np In Psychiatry And Np In Adult Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Care Np In Psychiatry And Np In Adult Health PC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.