Healthcare Provider Details

I. General information

NPI: 1255260584
Provider Name (Legal Business Name): BLISSFUL MIND NP IN PSYCHIATRY AND ADULT HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 7TH AVE FL 4
NEW YORK NY
10018-1802
US

IV. Provider business mailing address

2273 CHURCH AVE UNIT 260218
BROOKLYN NY
11226-8119
US

V. Phone/Fax

Practice location:
  • Phone: 212-564-7631
  • Fax: 216-616-9367
Mailing address:
  • Phone: 347-874-3826
  • Fax: 216-616-9367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA STEELE
Title or Position: OWNER
Credential: NP
Phone: 347-874-3826