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BEAUTIFUL MIND MEDICAL, PC
NPI 1790952570
Psychologist - Prescribing (Medical) in Brooklyn, NY

Active since May 12, 2008
2218 KIMBALL ST, SUITE M5, BROOKLYN, NY 11234(718) 253-1087(718) 253-7774 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beautiful Mind Medical, Pc NPPES

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

BEAUTIFUL MIND MEDICAL, PC (NPI 1790952570) is a healthcare organization registered as a prescribing (medical) in Brooklyn, New York and active in the NPI registry since May 2008. The organization lists Valeriy Chernov, Phisician, as its authorized official.

NPPES Registry Identity

NPI1790952570
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameBEAUTIFUL MIND MEDICAL, PC
Location Address2218 KIMBALL ST, SUITE M5Brooklyn, NY 11234-5103
Mailing Address2218 Kimball St, Suite M5Brooklyn, NY 11234-5103 · (718) 253-1087 · Fax (718) 253-7774
Phone(718) 253-1087
Fax(718) 253-7774
Organization SubpartNo
Authorized OfficialValeriy ChernovPhisician · (718) 253-1087
Enumeration DateMay 12, 2008
✔ NPI 1790952570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in NY · 232633
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
2218 KIMBALL ST, Brooklyn, NY 11234
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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

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 Beautiful Mind Medical, PC's NPI number?

The NPI number for Beautiful Mind Medical, PC is 1790952570. It was assigned to this organization in the NPPES registry on May 12, 2008.

Where is Beautiful Mind Medical, PC located?

Beautiful Mind Medical, PC is located at 2218 Kimball St Suite M5, Brooklyn, NY 11234. The listed phone number is (718) 253-1087.

What is Beautiful Mind Medical, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Beautiful Mind Medical, PC was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.