ECCENTRIC MINDS HEALTH AND WELLNESS PLLC
NPI 1639821572
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Q: What is Eccentric Minds Health And Wellness PLLC's specialty?

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

Active since January 21, 2022

166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909(401) 682-7382(401) 210-3750 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2025, Jul 21, 2023, Jun 7, 2023 and 2 more (5 updates tracked since 2022).

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About Eccentric Minds Health And Wellness Pllc NPPES

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

ECCENTRIC MINDS HEALTH AND WELLNESS PLLC (NPI 1639821572) is a healthcare organization registered as a psychiatric/mental health in Providence, Rhode Island and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Newport News and lists Nadia Dotrice Horton, Owner, as its authorized official.

NPPES Registry Identity

NPI1639821572

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameECCENTRIC MINDS HEALTH AND WELLNESS PLLC

Location Address166 VALLEY ST BLDG 6MProvidence, RI 02909-2400

Mailing Address735 Thimble Shoals Blvd Ste 130Newport News, VA 23606-4428 · (757) 333-0175

Phone(401) 682-7382

Fax(401) 210-3750

Organization SubpartNo

Authorized OfficialNadia Dotrice HortonOwner · (757) 333-0175

Enumeration DateJanuary 21, 2022

Last NPPES UpdateMay 6, 20255 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1639821572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LP0808X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

166 VALLEY ST BLDG 6M, Providence, RI 02909

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Secondary Practice Location 1

Location 1735 Thimble Shoals Blvd Ste 130Newport News, VA 23606-4428 · Phone (757) 333-0175

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eccentric Minds Health And Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eccentric Minds Health And Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nadia Horton, FNP

Nurse Practitioner

NPI 1114473816

166 VALLEY ST BLDG 6M
Providence, RI 02909

(401) 682-7382

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eccentric Minds Health And Wellness PLLC's NPI number?

The NPI number for Eccentric Minds Health And Wellness PLLC is 1639821572. It was assigned to this organization in the NPPES registry on January 21, 2022.

Where is Eccentric Minds Health And Wellness PLLC located?

Eccentric Minds Health And Wellness PLLC is located at 166 Valley St Bldg 6M, Providence, RI 02909. The listed phone number is (401) 682-7382.

What is Eccentric Minds Health And Wellness PLLC's specialty?

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

Is Eccentric Minds Health And Wellness PLLC enrolled in Medicare?

Yes. Eccentric Minds Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eccentric Minds Health And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eccentric Minds Health And Wellness PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eccentric Minds Health And Wellness PLLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.