Near Mind NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NEAR MIND NP IN PSYCHIATRY PLLC

Practice address

28 Liberty Blvd
Valley Stream, NY 11580-4834

Phone

(347) 737-3009

Fax

(347) 737-3009

NPI assigned

Dec 23, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Smith Maxume, PMHNP-BCNPI 1134940273

Title

Owner

Phone

(347) 737-3009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Smith Maxume, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hicksville, NY
  • NPI 1134940273
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1134084940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LIBERTY BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804834",
            "telephone_number": "347-737-3009",
            "fax_number": "347-737-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LIBERTY BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804834",
            "telephone_number": "347-737-3009",
            "fax_number": "347-737-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAR MIND NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "MAXUME",
        "authorized_official_first_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-737-3009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "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": []
}

• Michael Anthony Nastasi, D.D.S.
• Paul H Natter, DDS
• Natural Image Hair Concepts, Inc
• Nazeer&Sonsllc
• Chinelo E. Nduka, NP
• Necessities of Life Services, Inc
• Tyana Nedd
• Ehiozogie Usiosefe Nehikhare
• Antoinette Annmarie Neil-Robinson, LPN
• Antoinette P Neil, AADP,CIMHP,CHC

• Psychiatric/Mental Health Nurse Practitioner in Valley Stream, NY
• Providers in Valley Stream, 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 Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.