Mind Matters-Nurse Practitioner in Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND MATTERS-NURSE PRACTITIONER IN PSYCHIATRY, PLLC

Practice address

1360 Hylan Blvd
Staten Island, NY 10305-1922

Phone

(347) 766-2155

Fax

(949) 909-2221

NPI assigned

Jul 28, 2026

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara Courtney Callow, PMHNPNPI 1558627141

Title

Owner/Managing Member

Phone

(347) 766-2155

Specialties & licenses 1

Addresses

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.

• Tara Courtney Callow, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1558627141
  Authorized official Same address or phone

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1417879651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 HYLAN BLVD STE 1055",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052110",
            "telephone_number": "347-766-2155",
            "fax_number": "949-909-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "347-766-2155",
            "fax_number": "949-909-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS-NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "CALLOW",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "347-766-2155",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Riad Mina, PHARMD
• Jonathan Mina, M.D.
• David Anthony Minafo
• Eliana Minaya
• Frances Minchew-Ray, RPH
• Mind Soul Mental Health Counseling
• Mindbloom Kids Inc.
• Mindful Relationship Inc
• Mindful Therapy Solutions LCSW PLLC
• Mindfully Me Mental Health Counseling P.C.

• Psychiatric/Mental Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, 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 28, 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.

Verify at the official NPI Registry.