Organization Active NPI

Serenemind NP in Adult Health &Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1376494963
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENEMIND NP IN ADULT HEALTH &PSYCHIATRY PLLC
Practice address
1211 Howells Rd
Bay Shore, NY 11706-1945
Phone
(631) 260-2280
Fax
(631) 350-0570
NPI assigned
Feb 9, 2026
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Dr. Nicole Louis Beaubrun, DNPNPI 1780815480
Title
Nurse Practitioner
Phone
(631) 260-2280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1211 Howells Rd
Bay Shore, NY 11706-1945

Mailing address

1211 Howells Rd
Bay Shore, NY 11706-1945
Phone (631) 260-2280

National Provider Directory

National Provider Directory
Tax ID family
Serenemind NP in Adult Health Psychiatry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1376494963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061945",
            "telephone_number": "631-260-2280",
            "fax_number": "631-350-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061945",
            "telephone_number": "631-260-2280",
            "fax_number": "631-350-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENEMIND NP IN ADULT HEALTH &PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "BEAUBRUN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-260-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "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 Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.