Active NPI
Your Mentality, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1528759255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- YOUR MENTALITY, LLC
- Practice address
- 100 S Ashley Dr Ste 600
Tampa, FL 33602-5300 - Phone
- (866) 786-2502
- Fax
- (866) 786-2502
- NPI assigned
- May 15, 2023
- 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
- Ann Marie Brown, APRN
- Title
- Ceo
- Phone
- (866) 786-2502
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
100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Mailing address
129 Sophia CT
Napa, CA 94558-5947
Phone (732) 261-0992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 1st St
Ste 368
Napa, CA 94559
Phone (408) 610-2040
Practitioners & affiliated clinicians
Practitioners 1
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": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699142400000",
"number": "1528759255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SOPHIA CT",
"city": "NAPA",
"state": "CA",
"postal_code": "945585947",
"telephone_number": "732-261-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S ASHLEY DR STE 600",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025300",
"telephone_number": "866-786-2502",
"fax_number": "866-786-2502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR MENTALITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ANN MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-786-2502",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.