Organization Active NPI

Sanctuary Mind NP in Psychiatry PLLC

  • Child & Adolescent Psychiatry Physician
  • Briarwood, NY
National Provider Identifier
1073433371
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
SANCTUARY MIND NP IN PSYCHIATRY PLLC
Practice address
13546 Grand Central Pkwy Apt 4B
Briarwood, NY 11435-1088
Phone
(347) 637-8379
NPI assigned
Jul 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Authorized official

Name
Ms. Mercy Kollek, NPNPI 1346088333
Title
Pmhnp-BC
Phone
(347) 637-8379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

13546 Grand Central Pkwy Apt 4B
Briarwood, NY 11435-1088

Mailing address

13546 Grand Central Pkwy Apt 4B
Briarwood, NY 11435-1088
Phone (347) 637-8379

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1073433371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13546 GRAND CENTRAL PKWY APT 4B",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351088",
            "telephone_number": "347-637-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13546 GRAND CENTRAL PKWY APT 4B",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351088",
            "telephone_number": "347-637-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY MIND NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "KOLLEK",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "347-637-8379",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.