SOUND MIND NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1174458186
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Active since June 13, 2026
418 BROADWAY # 11771, ALBANY, NY 12207(585) 252-4401 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sound Mind Nurse Practitioner In Psychiatry Pllc NPPES

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

SOUND MIND NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1174458186) is a healthcare organization registered as a psychiatric/mental health in Albany, New York and active in the NPI registry since June 2026. The organization lists Amanda Elisa Johnson, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174458186
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUND MIND NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address418 BROADWAY # 11771Albany, NY 12207-2922
Mailing Address418 Broadway # 11771Albany, NY 12207-2922 · (585) 252-4401
Organization SubpartNo
Authorized OfficialAmanda Elisa JohnsonPsychiatric Nurse Practitioner · (585) 252-4401
Enumeration DateJune 13, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1174458186 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
418 BROADWAY # 11771, Albany, NY 12207

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sound Mind Nurse Practitioner In Psychiatry Pllc 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 Sound Mind Nurse Practitioner In Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1184221178
339 EAST AVE STE 303
Rochester, NY 14604
(315) 359-1787
✔ PECOS198 mi

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 Sound Mind Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Sound Mind Nurse Practitioner In Psychiatry PLLC is 1174458186. It was assigned to this organization in the NPPES registry on June 13, 2026.

Where is Sound Mind Nurse Practitioner In Psychiatry PLLC located?

Sound Mind Nurse Practitioner In Psychiatry PLLC is located at 418 Broadway # 11771, Albany, NY 12207. The listed phone number is (585) 252-4401.

What is Sound Mind Nurse Practitioner In Psychiatry PLLC's specialty?

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

Is Sound Mind Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?

Yes. Sound Mind Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sound Mind Nurse Practitioner In Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sound Mind Nurse Practitioner In Psychiatry PLLC. 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 Sound Mind Nurse Practitioner In Psychiatry PLLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.