Mind Bridge Health NP in Psychiatry

Primary specialty

Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X

Legal business name

MIND BRIDGE HEALTH NP IN PSYCHIATRY

Practice address

405 Lexington Ave FL 26
#2611
New York, NY 10174-2699

Phone

(347) 424-4799

Fax

(347) 238-3674

NPI assigned

Jul 29, 2025

Organization subpart

No

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

Authorized official

Name

Linda Fuller, PMHNPNPI 1619297058

Title

Owner

Phone

(347) 424-4799

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Linda Kay Fuller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1619297058
  NPD Authorized official

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1396628103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE FL 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101742699",
            "telephone_number": "347-424-4799",
            "fax_number": "347-238-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE FL 26",
            "address_2": "#2611",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101742699",
            "telephone_number": "347-424-4799",
            "fax_number": "347-238-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BRIDGE HEALTH NP IN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-424-4799",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind and Body Wellness Services LLC
• Mind Base Psychotherapy LCSW PLLC
• Mind Body Medical Services, P.C. of Co
• Mind Body Medical Services, P.C., of NJ
• Mind Body Medical Services, PC
• Mind Bridge Wellness
• Mind Care NP in Psychiatry PLLC
• Mind Clear Integrative Psychological Psychotherapy
• Mind Glow Solutions
• Mind Grove Psychology PLLC

• Clinical Nurse Specialist in New York, NY
• Providers in New York, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.