MINDBODYSOUL PSYCHIATRY NP PC
NPI 1306555438
Nurse Practitioner - Psychiatric/Mental Health in Yonkers, NY
About Mindbodysoul Psychiatry Np Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDBODYSOUL PSYCHIATRY NP PC (NPI 1306555438) is a healthcare organization registered as a psychiatric/mental health in Yonkers, New York and active in the NPI registry since November 2022. The organization lists Iman Hines, Owner/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindbodysoul Psychiatry Np Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindbodysoul Psychiatry Np PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Mindbodysoul Psychiatry Np PC's NPI number?
The NPI number for Mindbodysoul Psychiatry Np PC is 1306555438. It was assigned to this organization in the NPPES registry on November 17, 2022.
Where is Mindbodysoul Psychiatry Np PC located?
Mindbodysoul Psychiatry Np PC is located at 909 Midland Ave, Yonkers, NY 10704. The listed phone number is (914) 267-5847.
What is Mindbodysoul Psychiatry Np PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindbodysoul Psychiatry Np PC enrolled in Medicare?
Yes. Mindbodysoul Psychiatry Np PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindbodysoul Psychiatry Np PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindbodysoul Psychiatry Np 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mindbodysoul Psychiatry Np PC was last updated on May 11, 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.
# Mindbodysoul Psychiatry Np Pc · NPI 1306555438
Psychiatric/Mental Health organization in Yonkers, New York. Organization record, active in the CMS NPPES registry since November 17, 2022.
## Identity
- **NPI:** 1306555438 (Entity type: Organization)
- **Enumerated:** November 17, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Iman Hines, OWNER/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 909 MIDLAND AVE, Yonkers, NY 10704-1092
- **Phone:** (914) 267-5847
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306555438) · Data from the CMS NPPES public registry.