MIND MATTERS-NURSE PRACTITIONER IN PSYCHIATRY, PLLC - NPI 1417879651

Q: What is Mind Matters-Nurse Practitioner In Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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About Mind Matters-nurse Practitioner In Psychiatry, Pllc NPPES

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

MIND MATTERS-NURSE PRACTITIONER IN PSYCHIATRY, PLLC (NPI 1417879651) is a healthcare organization registered as a psychiatric/mental health in Staten Island, New York and active in the NPI registry since July 2026. The organization lists Tara Courtney Callow, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1417879651

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND MATTERS-NURSE PRACTITIONER IN PSYCHIATRY, PLLC

Location Address1360 HYLAN BLVDStaten Island, NY 10305-1922

Mailing Address1885 Hylan Blvd Ste 1055Staten Island, NY 10305-2110 · (347) 766-2155 · Fax (949) 909-2221

Phone(347) 766-2155

Fax(949) 909-2221

Organization SubpartNo

Authorized OfficialTara Courtney CallowOwner/managing Member · (347) 766-2155

Enumeration DateJuly 28, 2026

NPPES CertifiedJuly 28, 2026

✔ NPI 1417879651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1360 HYLAN BLVD, Staten Island, NY 10305

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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 13

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

SPECIALTY ANESTHESIA, PLLC

Anesthesiology