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NPI Code Detail

MEDICARE: WELLSPRING PSYCHIATRY PLLC

MEDICARE: WELLSPRING PSYCHIATRY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1528926862
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSPRING PSYCHIATRY PLLC
Provider Business Mailing Address
First Line : 831 BEDFORD AVE STE 497
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2801
Country : US
Telephone Number : 347-667-7924
Fax Number : 332-262-2396
Provider Business Practice Location Address
First Line : 831 BEDFORD AVE STE 497
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2801
Country : US
Telephone Number : 347-667-7924
Fax Number : 332-262-2396
Authorized Official
Title or Position : OWNER
Name : MAHMOOD MEHDI KAZMI
Credential : MD
Telephone Number : 347-667-7924
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “WELLSPRING PSYCHIATRY PLLC ” Practice Location

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