NPIMap

Organization Active NPI

Mindful Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Jenkintown, PA
National Provider Identifier
1417769415
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL PSYCHIATRY
Practice address
261 Old York Rd Ste 526
Jenkintown, PA 19046-3721
Phone
(215) 806-7223
NPI assigned
Jan 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Judi N Exantus
Title
Operations Director
Phone
(786) 522-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

261 Old York Rd Ste 526
Jenkintown, PA 19046-3721

Mailing address

261 Old York Rd Ste 526
Jenkintown, PA 19046-3721
Phone (610) 697-9885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227002278 PA Part B Supplier - Clinic/Group Practice 9234659731 Receives reassigned benefits from 5 practitioners
Practice locations: Jenkintown, PA

National Provider Directory

National Provider Directory

Locations

261 Old York Rd
Ste 526
Jenkintown, PA 19046
Phone (215) 806-7223

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1417769415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 526",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463721",
            "telephone_number": "610-697-9885",
            "fax_number": "215-714-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 526",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463721",
            "telephone_number": "215-806-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "EXANTUS",
        "authorized_official_first_name": "JUDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "786-522-7768"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.