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MIND SANCTUARY RECOVERY & PSYCHIATRY
NPI 1639016983
Nurse Practitioner - Psychiatric/Mental Health in Deland, FL

Active since May 04, 2026
100 E NEW YORK AVE STE 103, DELAND, FL 32724(689) 710-9530(386) 218-0570 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, May 23, 2026, May 4, 2026 (3 updates tracked since 2026).

About Mind Sanctuary Recovery & Psychiatry NPPES

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

MIND SANCTUARY RECOVERY & PSYCHIATRY (NPI 1639016983) is a healthcare organization registered as a psychiatric/mental health in Deland, Florida and active in the NPI registry since May 2026. The organization lists Heather Johnson, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1639016983
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND SANCTUARY RECOVERY & PSYCHIATRY
Location Address100 E NEW YORK AVE STE 103Deland, FL 32724-5576
Mailing Address100 E New York Ave Ste 103Deland, FL 32724-5576 · (689) 710-9530 · Fax (386) 218-0570
Phone(689) 710-9530
Fax(386) 218-0570
Organization SubpartNo
Authorized OfficialHeather JohnsonPmhnp · (407) 729-9870
Enumeration DateMay 4, 2026
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1639016983 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
100 E NEW YORK AVE STE 103, Deland, FL 32724
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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.

REVIVALIFE HEALTH PLLC
Nurse Practitioner (Family)
100 E NEW YORK AVE STE 103
DELAND, FL 32724
Volusia County (407) 901-7215
MAYDELIN JIMENEZ
Counselor (Mental Health)
100 E NEW YORK AVE STE 103
DELAND, FL 32724
Volusia County (786) 587-6479

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 Sanctuary Recovery & Psychiatry's NPI number?

The NPI number for Mind Sanctuary Recovery & Psychiatry is 1639016983. It was assigned to this organization in the NPPES registry on May 4, 2026.

Where is Mind Sanctuary Recovery & Psychiatry located?

Mind Sanctuary Recovery & Psychiatry is located at 100 E New York Ave Ste 103, Deland, FL 32724. The listed phone number is (689) 710-9530.

What is Mind Sanctuary Recovery & Psychiatry'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 Mind Sanctuary Recovery & Psychiatry was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.