Organization Active NPI

Nurse Knacks

Doing business as Psych Your Mind

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1407675564
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NURSE KNACKS
Doing business as
Psych Your Mind
Practice address
6020 Strawberry Lakes Cir
Lake Worth, FL 33463-6509
Phone
(561) 306-5343
NPI assigned
Oct 7, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Kathia Cajuste, NPNPI 1093409229
Title
Owner
Phone
(561) 306-5343

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 Practitioner 363LP0808X Primary

Addresses

Primary practice location

6020 Strawberry Lakes Cir
Lake Worth, FL 33463-6509

Mailing address

6020 Strawberry Lakes Cir
Lake Worth, FL 33463-6509
Phone (561) 306-5343

Other names 1

  • Psych Your Mind Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018001587 FL Part B Supplier - Clinic/Group Practice 4082146733 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

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": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1407675564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 STRAWBERRY LAKES CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636509",
            "telephone_number": "561-306-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 STRAWBERRY LAKES CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636509",
            "telephone_number": "561-306-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE KNACKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "CAJUSTE",
        "authorized_official_first_name": "KATHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-306-5343",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psych Your Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.