Vital Mind Psychiatry LLP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VITAL MIND PSYCHIATRY LLP

Practice address

6055 Tain Dr # 202
Dublin, OH 43017-8560

Phone

(614) 233-1825

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Mistique Chantay Henry, PMHNPNPI 1902456650

Title

CNP

Phone

(614) 597-2132

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mistique Chantay Henry, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1902456650
  NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1104542596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062233",
            "telephone_number": "614-597-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 TAIN DR # 202",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178560",
            "telephone_number": "614-233-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MIND PSYCHIATRY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MISTIQUE",
        "authorized_official_middle_name": "CHANTAY",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "614-597-2132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Dublin, OH
• Providers in Dublin, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.