Organization Active NPI

Holistic Minds Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Merrick, NY
National Provider Identifier
1376409706
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIC MINDS CORP
Practice address
2116 Merrick Ave Ste 3008a
Merrick, NY 11566-3410
Phone
(516) 399-5212
NPI assigned
Dec 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Edline AntoineNPI 1700558020
Title
Owner
Phone
(516) 528-5186

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2116 Merrick Ave Ste 3008a
Merrick, NY 11566-3410

Mailing address

2116 Merrick Ave Ste 3008a
Merrick, NY 11566-3410
Phone (516) 399-5212

National Provider Directory

National Provider Directory

Locations

2116 Merrick Ave
Ste 3008A
Merrick, NY 11566
Phone (516) 521-5195

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1376409706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE STE 3008A",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663410",
            "telephone_number": "516-399-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE STE 3008A",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663410",
            "telephone_number": "516-399-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MINDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "EDLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-528-5186"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.