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MINDFUL MED MANAGEMENT INC
NPI 1366242273
Nurse Practitioner - Psychiatric/Mental Health in Port Jefferson, NY

Active since March 18, 2025
100 MARINERS WAY, PORT JEFFERSON, NY 11777(631) 991-0052 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mindful Med Management Inc NPPES

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

MINDFUL MED MANAGEMENT INC (NPI 1366242273) is a healthcare organization registered as a psychiatric/mental health in Port Jefferson, New York and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Patchogue and lists April Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1366242273
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL MED MANAGEMENT INC
Location Address100 MARINERS WAYPort Jefferson, NY 11777-1848
Mailing Address100 Mariners WayPort Jefferson, NY 11777-1848 · (631) 509-7488 · Fax (631) 778-8004
Phone(631) 991-0052
Organization SubpartNo
Authorized OfficialApril LeeOwner · (631) 509-7488
Enumeration DateMarch 18, 2025
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1366242273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
100 MARINERS WAY, Port Jefferson, NY 11777
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Secondary Practice Location 1

Location 1475 E Main StPatchogue, NY 11772-3121 · Phone (631) 413-1477

Other Providers at the Same Location NPPES 4

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

INTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC
Clinic/Center (Adult Mental Health)
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (934) 246-6042
TSL MASSAGE THERAPY PC
Health and Wellness Coach
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 991-0052
MELISSA A CASCINO
Social Worker (Clinical)
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (516) 909-2421
SUZANNE D'ADDONA LMSW
Social Worker
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Suffolk County (631) 774-3857

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 Med Management Inc's NPI number?

The NPI number for Mindful Med Management Inc is 1366242273. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Mindful Med Management Inc located?

Mindful Med Management Inc is located at 100 Mariners Way, Port Jefferson, NY 11777. The listed phone number is (631) 991-0052.

What is Mindful Med Management Inc'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 Mindful Med Management Inc was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.