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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIND BRIDGE HEALTH NP IN PSYCHIATRY
NPI 1396628103
Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric in New York, NY

Active since July 29, 2025
405 LEXINGTON AVE FL 26, #2611, NEW YORK, NY 10174(347) 424-4799(347) 238-3674 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2026, Aug 26, 2026 (2 updates tracked since 2026).

About Mind Bridge Health Np In Psychiatry NPPES

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

MIND BRIDGE HEALTH NP IN PSYCHIATRY (NPI 1396628103) is a healthcare organization registered as a psychiatric/mental health, geropsychiatric in New York, New York and active in the NPI registry since July 2025. The organization lists Linda Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1396628103
Entity TypeOrganization
Primary Taxonomy364SP0813X
Legal Business NameMIND BRIDGE HEALTH NP IN PSYCHIATRY
Location Address405 LEXINGTON AVE FL 26, #2611New York, NY 10174-2699
Mailing Address405 Lexington Ave Fl 26New York, NY 10174-2699 · (347) 424-4799 · Fax (347) 238-3674
Phone(347) 424-4799
Fax(347) 238-3674
Organization SubpartNo
Authorized OfficialLinda FullerOwner · (347) 424-4799
Enumeration DateJuly 29, 2025
Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1396628103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, GeropsychiatricPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0813X
405 LEXINGTON AVE FL 26, New York, NY 10174
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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

Other Providers at the Same Location NPPES 2

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

SMART AGING LLC
Home Health
405 LEXINGTON AVE FL 26
NEW YORK, NY 10174
New York County (212) 858-9800
MISS TALIA ROSENBERG
Social Worker (Clinical)
405 LEXINGTON AVE FL 26
NEW YORK, NY 10174
New York County (347) 852-3318

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 Mind Bridge Health Np In Psychiatry's NPI number?

The NPI number for Mind Bridge Health Np In Psychiatry is 1396628103. It was assigned to this organization in the NPPES registry on July 29, 2025.

Where is Mind Bridge Health Np In Psychiatry located?

Mind Bridge Health Np In Psychiatry is located at 405 Lexington Ave Fl 26 #2611, New York, NY 10174. The listed phone number is (347) 424-4799.

What is Mind Bridge Health Np In Psychiatry's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Geropsychiatric, with taxonomy code 364SP0813X.

When was this NPI record last updated?

The NPPES record for Mind Bridge Health Np In Psychiatry was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.