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

NPI Status: Active since March 18, 2025

Contact Information

100 MARINERS WAY
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 991-0052

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MINDFUL MED MANAGEMENT INC

This page provides the complete NPI Profile along with additional information for Mindful Med Management Inc, a provider established in Port Jefferson, New York operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1366242273 assigned on March 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is April Lee Np (Owner)

NPI
1366242273
Provider Name
MINDFUL MED MANAGEMENT INC
Entity Type
Organization
Location Address
100 MARINERS WAY PORT JEFFERSON, NY 11777
Location Phone
(631) 991-0052
Mailing Address
100 MARINERS WAY PORT JEFFERSON, NY 11777
Mailing Phone
(631) 509-7488
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2025
Last Update Date
04-17-2025
Code Navigator

A nurse practitioner (NP) like Mindful Med Management Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 475 E Main St
    Patchogue, NY 11772
    (631) 413-1477

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QI0500XAmbulatory Health Care Facilities

Clinic/Center
Infusion Therapy

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

APRIL LEE NP

Authorized Official Title
OWNER
Authorized Official Phone
(631) 509-7488

Reviews for MINDFUL MED MANAGEMENT INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366242273, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 2 → 4 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 4 + 4 + 4 + 2 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366242273.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Health and Wellness Coach
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Social Worker
100 MARINERS WAY
PORT JEFFERSON, NY 11777
Clinic/Center (Adult Mental Health)
100 MARINERS WAY
PORT JEFFERSON, NY 11777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366242273, enumerated as an "organization" on March 18, 2025.

The provider is located at 100 MARINERS WAY PORT JEFFERSON, NY 11777 and the phone number is (631) 991-0052.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.