NPIMap

Organization Active NPI

Integrative Wellness Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1336745058
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTEGRATIVE WELLNESS NURSE PRACTITIONER IN PSYCHIATRY PLLC
Practice address
157 E 86TH St Ste 4
New York, NY 10028-2175
Phone
(718) 790-4511
Fax
(646) 809-8707
NPI assigned
Dec 8, 2020
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Claudia MC Bride
Title
Executive Associate
Phone
(914) 850-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

157 E 86TH St Ste 4
New York, NY 10028-2175

Mailing address

169 Madison Ave Ste 38577
New York, NY 10016-5101
Phone (718) 790-4511

Other practice location 1

145 Palisade St Ste 200
Dobbs Ferry, NY 10522-1627
Phone (718) 790-4511

Other practice location 2

3580 Mystic Pointe Dr Ste 116
Aventura, FL 33180-2554
Phone (718) 790-4511

Other practice location 3

103 Townsend Ave # 93
Johnstown, NY 12095-1002
Phone (718) 790-4511

Other practice location 4

354 Hempstead Ave Ste 101
West Hempstead, NY 11552-2050
Phone (718) 790-4511

Other practice location 5

300 Carnegie Ctr Ste 150
Princeton, NJ 08540-6285
Phone (718) 790-4511

Other names 1

  • Reklame Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240812003306 NY Part B Supplier - Clinic/Group Practice 1658819495 Receives reassigned benefits from 25 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

3580 Mystic Pointe Dr
Ste 116
Aventura, FL 33180
Phone (718) 790-4511

397 Bridge St
Fl 7
Brooklyn, NY 11201
Phone (386) 299-6987

103 Townsend Ave
Johnstown, NY 12095
Phone (718) 790-4511

157 E 86th St
Fl 4
New York, NY 10028
Phone (646) 371-4142

169 Madison Ave
Ste 38577
New York, NY 10016

666 3rd Ave
Fl 6
New York, NY 10017

354 Hempstead Ave
Ste 101
West Hempstead, NY 11552
Phone (516) 500-9905

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1336745058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 38577",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "718-790-4511",
            "fax_number": "646-809-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "718-790-4511",
            "fax_number": "646-809-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Palisade St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221627",
            "country_code": "US",
            "telephone_number": "718-790-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Mystic Pointe Dr Ste 116",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802554",
            "country_code": "US",
            "telephone_number": "718-790-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Townsend Ave # 93",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "NY",
            "postal_code": "120951002",
            "country_code": "US",
            "telephone_number": "718-790-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Hempstead Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Hempstead",
            "state": "NY",
            "postal_code": "115522050",
            "country_code": "US",
            "telephone_number": "718-790-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Carnegie Ctr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085406285",
            "country_code": "US",
            "telephone_number": "718-790-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "MC BRIDE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "EXECUTIVE ASSOCIATE",
        "authorized_official_telephone_number": "914-850-2593"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reklame Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.