Mindful Care NP in Psychiatry and NP in Adult Health PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC

Practice address

571 E 19TH St Apt 6B
Brooklyn, NY 11226-7674

Phone

(929) 322-1924

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Ericka Deadwyler-Gourgue, NPNPI 1689154130

Title

Owner

Phone

(929) 274-5188

Specialties & licenses 2

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.

• Ericka Deadwyler-Gourgue, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1689154130
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1174380141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 E 19TH ST APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267674",
            "telephone_number": "929-274-5188",
            "fax_number": "929-274-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 E 19TH ST APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267674",
            "telephone_number": "929-322-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "DEADWYLER-GOURGUE",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-274-5188",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Carl Minde
• Michelle Mindel
• Mindful Embrace Mental Health Counseling PLLC
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• Mindful Milestones Services Inc
• Mindful Moments Mental Health Counseling, PLLC
• Mindful Motion Physical Therapy PLLC

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.