Active NPI
Mindful Meds Psychiatry and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
National Provider Identifier
1245059153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDFUL MEDS PSYCHIATRY AND WELLNESS LLC
- Practice address
- 501 Silverside Rd Ste 61
Wilmington, DE 19809-1394 - Phone
- (302) 330-8633
- Fax
- (402) 246-5653
- NPI assigned
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chanell Brooker-Knight, APRN, PMHNP-BC
- Title
- Psychiatric Nurse Practitioner
- Phone
- (302) 330-8633
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
501 Silverside Rd Ste 61
Wilmington, DE 19809-1394
Mailing address
501 Silverside Rd Ste 61
Wilmington, DE 19809-1394
Phone (302) 330-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
501 Silverside Rd
Ste 61
Wilmington, DE 19809
Phone (302) 330-8633
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
- NPI 1225793995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1245059153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SILVERSIDE RD STE 61",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198091394",
"telephone_number": "302-330-8633",
"fax_number": "402-246-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SILVERSIDE RD STE 61",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198091394",
"telephone_number": "302-330-8633",
"fax_number": "402-246-5653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL MEDS PSYCHIATRY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "BROOKER-KNIGHT",
"authorized_official_first_name": "CHANELL",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "302-330-8633",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN, 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": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.