MINDBROOK PSYCHIATRY LLC
NPI 1669248670
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since November 30, 2023
14505 BRUCE B DOWNS BLVD, TAMPA, FL 33613(813) 680-2207 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, Sep 5, 2025, Dec 13, 2023 (3 updates tracked since 2023).

About Mindbrook Psychiatry Llc NPPES

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

MINDBROOK PSYCHIATRY LLC (NPI 1669248670) is a healthcare organization registered as a psychiatric/mental health in Tampa, Florida and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Jersey City and lists Manita Shrestha, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1669248670
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDBROOK PSYCHIATRY LLC
Location Address14505 BRUCE B DOWNS BLVDTampa, FL 33613-2789
Mailing Address29749 Picana LnWesley Chapel, FL 33543-6652 · (917) 538-1546
Organization SubpartNo
Authorized OfficialManita ShresthaPsychiatric Nurse Practitioner · (201) 374-7881
Enumeration DateNovember 30, 2023
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1669248670 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
14505 BRUCE B DOWNS BLVD, Tampa, FL 33613

Secondary Practice Location 1

Location 1111 Town Square PlJersey City, NJ 07310-1755 · Phone (201) 374-7881 · Fax (201) 502-9310

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindbrook Psychiatry Llc 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 Mindbrook Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1063655066
550 BROAD ST STE 606
Newark, NJ 07102
(201) 822-1161
✔ PECOS✔ Accepts Medicare992 mi

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 Mindbrook Psychiatry LLC's NPI number?

The NPI number for Mindbrook Psychiatry LLC is 1669248670. It was assigned to this organization in the NPPES registry on November 30, 2023.

Where is Mindbrook Psychiatry LLC located?

Mindbrook Psychiatry LLC is located at 14505 Bruce B Downs Blvd, Tampa, FL 33613. The listed phone number is (813) 680-2207.

What is Mindbrook Psychiatry LLC's specialty?

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

Is Mindbrook Psychiatry LLC enrolled in Medicare?

Yes. Mindbrook Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindbrook Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindbrook Psychiatry LLC. 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 Mindbrook Psychiatry LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.