Individual provider Active NPI

Tamara Sonetta Muller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Bellmore, NY
National Provider Identifier
1053810929
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407318 Issued in NY
Practice address
713 Evelyn Ave
North Bellmore, NY 11710-1307
Phone
(917) 691-5853
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407318 NY Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 341972 NY

Addresses

Primary practice location

713 Evelyn Ave
North Bellmore, NY 11710-1307

Mailing address

713 Evelyn Ave
North Bellmore, NY 11710-1307
Phone (917) 691-5853

Other identifiers 1

IdentifierTypeStateIssuer
06301697MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808000416 NY Practitioner - Nurse Practitioner 6507114584 Practice locations: North Bellmore, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

North Bellmore, NY 11710
Phone (917) 691-5853

PO Box
Suite 490619
College Park, GA 30349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
407318NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New York, PLLC Single Specialty CurrentSince Jul 22, 2025 Accepting new patients
Josef Schenker MD PC Single Specialty CurrentSince Sep 17, 2019 Accepting new patients
Molina Healthcare of New York, Inc. Single Specialty CurrentSince Oct 14, 2024 Accepting new patients
Wellness Nurse Practitioner in Psychiatry and Family Health, PLLC Single Specialty Current Accepting new patients
Urban Family Practice PC Single Specialty Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1053810929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 EVELYN AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101307",
            "telephone_number": "917-691-5853",
            "fax_number": "516-968-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 EVELYN AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101307",
            "telephone_number": "917-691-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "TAMARA",
        "middle_name": "SONETTA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407318",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06301697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.