Organization Active NPI

Nurse Practitioner of Momentum Psychiatric Wellness Services PLLC

  • Clinic/Center
  • Hempstead, NY
National Provider Identifier
1205681053
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NURSE PRACTITIONER OF MOMENTUM PSYCHIATRIC WELLNESS SERVICES PLLC
Practice address
230 Hilton Ave Ste 4
Hempstead, NY 11550-8116
Phone
(929) 260-1720
NPI assigned
Apr 23, 2024
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Alyshiann Taylor
Title
Owner
Phone
(929) 260-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

230 Hilton Ave Ste 4
Hempstead, NY 11550-8116

Mailing address

230 Hilton Ave Ste 4
Hempstead, NY 11550-8116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1205681053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE STE 4",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE STE 4",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508116",
            "telephone_number": "929-260-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER OF MOMENTUM PSYCHIATRIC WELLNESS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ALYSHIANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-260-1720"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.