=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689464133
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETTERMINDNP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/08/2025
-----------------------------------------------------
Last Update Date | 05/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 726 N SHORE DR
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33442-8414
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-350-2797
-----------------------------------------------------
Fax | 980-495-8942
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 726 N SHORE DR
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33442-8414
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-350-2797
-----------------------------------------------------
Fax | 980-495-8942
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DIRECTOR OF NURSING
-----------------------------------------------------
Name | SVETLANA V. ZAK
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 516-350-2797
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------