Bass Nurse Practitioners in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BASS NURSE PRACTITIONERS IN PSYCHIATRY PLLC

Practice address

641 Lexington Ave FL 14
New York, NY 10022-4503

Phone

(917) 923-0569

Fax

(469) 414-5292

NPI assigned

Jul 8, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Shaw, NP-P, PMHNP-BC

Title

Managing Member

Phone

(917) 575-5662

Specialties & licenses 1

Addresses

Other names 1

• Bass Wellness Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1003734948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "917-923-0569",
            "fax_number": "469-414-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "917-923-0569",
            "fax_number": "469-414-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS NURSE PRACTITIONERS IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-575-5662",
        "authorized_official_credential": "NP-P, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bass Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susmita Basnet
• Spyridon Panagiotis Basourakos, M.D.
• Mae Basow, PH.D.
• Sonia Basra
• Benjamin James Basri, LLP
• Bass Wellness LLC
• Helene Bass-Wichelhaus, PHD
• Adam J Bass, M.D.
• Adriana Sofia Bass
• Alan Bass, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.