BASS WELLNESS LLC
NPI 1578280293
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Bass Wellness LLC's NPI number?

The NPI number for Bass Wellness LLC is 1578280293. It was assigned to this organization in the NPPES registry on October 24, 2022.

Q: What is Bass Wellness LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bass Wellness LLC was last updated on October 24, 2022. 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.

Active since October 24, 2022

1180 6TH AVE FL 8, NEW YORK, NY 10036(917) 923-0569(469) 414-5292 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bass Wellness Llc NPPES

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

BASS WELLNESS LLC (NPI 1578280293) is a healthcare organization registered as a psychiatric/mental health in New York, New York and active in the NPI registry since October 2022. The organization lists Justin William Shaw, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1578280293

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBASS WELLNESS LLC

Location Address1180 6TH AVE FL 8New York, NY 10036-8401

Mailing Address263 Franklin Ave Apt 1bBrooklyn, NY 11205-3554 · (917) 575-5662 · Fax (469) 414-5292

Phone(917) 923-0569

Fax(469) 414-5292

Organization SubpartNo

Authorized OfficialJustin William ShawCo-founder · (917) 575-5662

Enumeration DateOctober 24, 2022

NPPES CertifiedOctober 24, 2022

✔ NPI 1578280293 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 ListedNurse PractitionerTaxonomy 363L00000X

1180 6TH AVE FL 8, New York, NY 10036

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MELISSA JOI VARDA MSN, RN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1180 6TH AVE FL 8
NEW YORK, NY 10036

New York County (917) 923-0569

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 Bass Wellness LLC's NPI number?

The NPI number for Bass Wellness LLC is 1578280293. It was assigned to this organization in the NPPES registry on October 24, 2022.

Where is Bass Wellness LLC located?

Bass Wellness LLC is located at 1180 6th Ave Fl 8, New York, NY 10036. The listed phone number is (917) 923-0569.

What is Bass Wellness LLC'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 Bass Wellness LLC was last updated on October 24, 2022. 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.