1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Clinic Center
  6. NPI Profile

EDEN HEALTH MENTAL WELLNESS
NPI 1205575388
Clinic/Center - Multi-Specialty in Smithtown, NY

Active since May 27, 2022
88 TERRY RD STE 101, SMITHTOWN, NY 11787(917) 686-2412 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2023, May 27, 2022 (2 updates tracked since 2022).

About Eden Health Mental Wellness NPPES

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

EDEN HEALTH MENTAL WELLNESS (NPI 1205575388) is a healthcare organization registered as a multi-specialty in Smithtown, New York and active in the NPI registry since May 2022. The organization lists Bracha Oriana Fishman, Owner, as its authorized official.

NPPES Registry Identity

NPI1205575388
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBRACHA FISHMAN
Location Address88 TERRY RD STE 101Smithtown, NY 11787-3811
Mailing Address88 Terry Rd Unit 12Smithtown, NY 11787-3811 · (917) 686-2412
Phone(917) 686-2412
Organization SubpartNo
Authorized OfficialBracha Oriana FishmanOwner · (917) 686-2412
Enumeration DateMay 27, 2022
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1205575388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X
Also ListedClinic/CenterTaxonomy 261Q00000X
88 TERRY RD STE 101, Smithtown, NY 11787
Open in Google Maps ↗

Other Names 1

Doing Business AsEden Health Mental Wellness

Group Practice 2

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRACHA ORIANA FISHMAN
Counselor (Mental Health)
88 TERRY RD STE 101
SMITHTOWN, NY 11787
Suffolk County (917) 686-2412

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 Bracha Fishman's NPI number?

The NPI number for Bracha Fishman is 1205575388. It was assigned to this organization in the NPPES registry on May 27, 2022. The provider is doing business as Eden Health Mental Wellness.

Where is Bracha Fishman located?

Bracha Fishman is located at 88 Terry Rd Ste 101, Smithtown, NY 11787. The listed phone number is (917) 686-2412.

What is Bracha Fishman's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Bracha Fishman was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.