Yogatastic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

YOGATASTIC

Doing business as

yogatastic

Practice address

106 Park Blvd
Malverne, NY 11565-1717

Phone

(917) 306-6054

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By 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

Amalia Per, NPNPI 1124353438

Title

NP

Phone

(917) 306-6054

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• yogatastic Doing business as
• LI Comprehesive Psychiatry PC Other name

Tax ID family

Amaliapsych2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yogatastic

  dba amaliapsych

  • Psychiatric/Mental Health Nurse Practitioner
  • Hempstead, NY
  • NPI 1629898432
  NPD tax ID

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.

• Amalia Per, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amityville, NY
  • NPI 1124353438
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1487472874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PARK BLVD",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651717",
            "telephone_number": "917-306-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARK BLVD",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651717",
            "telephone_number": "917-306-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGATASTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "PER",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "917-306-6054",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCH",
            "identifier": "081181999",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08181999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yogatastic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LI Comprehesive Psychiatry PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Malverne, NY
• Providers in Malverne, 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 Oct 2, 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.