Active NPI
Mind Haven Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Stallings, NC
National Provider Identifier
1417742883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MIND HAVEN PSYCHIATRY PLLC
- Practice address
- 1981 Stallings Rd
Stallings, NC 28104-1104 - Phone
- (704) 709-5515
- Fax
- (704) 709-5537
- NPI assigned
- Apr 14, 2025
- Last updated
- Apr 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine McEntyre, DNP,FNP-BC,PMHNP-BC
- Title
- NP/Pmhnp
- Phone
- (828) 318-4551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1981 Stallings Rd
Stallings, NC 28104-1104
Mailing address
4728 Audrey Dr
Winston Salem, NC 27127-6698
Phone (828) 318-4551
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Lexington, NC
- NPI 1871145912
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1417742883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 AUDREY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271276698",
"telephone_number": "828-318-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1981 STALLINGS RD",
"city": "STALLINGS",
"state": "NC",
"postal_code": "281041104",
"telephone_number": "704-709-5515",
"fax_number": "704-709-5537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND HAVEN PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-14",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "MCENTYRE",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "NP/PMHNP",
"authorized_official_telephone_number": "828-318-4551",
"authorized_official_credential": "DNP,FNP-BC,PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stallings, NC
- Ese Associates, Inc. (Pro Dental)
- Darren Wayne Holman, L.AC
- Inertia Physical Therapy LLC (Inertia Physical Therapy)
- Levy Care Group PLLC (Balanced Health Chiropractic)
- Stephanie Lauren Lewis Hart, PT, DPT, ATC
- Prashant Patel, PHARMD
- Strength Harbor PLLC
- The Cardinal Connection LLC
- Allison Tedesco Tischio
- Walgreen Co (Walgreens #12350)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.