Healthcare Provider Details

I. General information

NPI: 1457260895
Provider Name (Legal Business Name): EMBRACE PSYCHIATRY AND HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MOTT ST
OCEANSIDE NY
11572-5500
US

IV. Provider business mailing address

160 MOTT ST
OCEANSIDE NY
11572-5500
US

V. Phone/Fax

Practice location:
  • Phone: 516-589-9763
  • Fax: 516-687-8935
Mailing address:
  • Phone: 516-589-9763
  • Fax: 516-687-8935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YVENS J MORTIMER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 516-589-9763