Healthcare Provider Details

I. General information

NPI: 1487559506
Provider Name (Legal Business Name): MIND MATTERS NP IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 S MAIN ST STE 515
NEW CITY NY
10956-3388
US

IV. Provider business mailing address

254 S MAIN ST STE 515
NEW CITY NY
10956-3388
US

V. Phone/Fax

Practice location:
  • Phone: 845-641-5083
  • Fax: 731-201-5237
Mailing address:
  • Phone: 845-641-5083
  • Fax: 731-201-5237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ANGELA DAVID
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: NP
Phone: 845-641-5083