Thrivemyndxercize PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THRIVEMYNDXERCIZE PLLC

Practice address

175 Pearl St FL 16220
Brooklyn, NY 11201-7508

Phone

(917) 460-7005

Fax

(470) 381-1502

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey L Mitchell, APRNNPI 1245794387

Title

Owner/Aprn

Phone

(917) 460-7005

Specialties & licenses 1

Addresses

Other names 1

• Stacey L Mitchell Doing business as

Electronic endpoints 2

Locations

Practitioners 1

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

• Stacey Lasandra Mitchell, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, GA
  • NPI 1245794387
  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1407680093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PEARL ST FL 16220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017508",
            "telephone_number": "917-460-7005",
            "fax_number": "470-381-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PEARL ST FL 16220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017508",
            "telephone_number": "917-460-7005",
            "fax_number": "470-381-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVEMYNDXERCIZE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "917-460-7005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smitchellnp@mymentalheal.org",
            "affiliation": "N",
            "address_1": "175 Pearl St Fl 16220",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112017508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smitchellnp@mymentalheal.org",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted email address",
            "address_1": "175 Pearl St Fl 16220",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112017508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stacey L Mitchell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.