Wholistic Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WHOLISTIC PSYCHIATRY PLLC

Practice address

2929 W 31St St Apt 10L4
Brooklyn, NY 11224-1721

Phone

(216) 536-6212

Fax

(917) 508-4842

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Marie Knapp, PMHNP-BCNPI 1104267061

Title

Owner, Clinician

Phone

(216) 536-6212

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Michelle Marie Knapp, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Venice, FL
  • NPI 1104267061
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1417681982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MISSOURI RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342936447",
            "telephone_number": "216-536-6212",
            "fax_number": "917-508-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 W 31ST ST APT 10L4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241721",
            "telephone_number": "216-536-6212",
            "fax_number": "917-508-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Tamiami Trl S",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342855570",
            "country_code": "US",
            "telephone_number": "216-536-6212",
            "fax_number": "917-508-4842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Missouri Rd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342936447",
            "country_code": "US",
            "telephone_number": "216-536-6212",
            "fax_number": "917-508-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLISTIC PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "216-536-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04131288",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@wholisticpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Secure and protected email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "611 Missouri Rd",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342936447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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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 Jul 12, 2022; 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.