Organization Active NPI

Wellspring Psychiatry PLLC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1528926862
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLSPRING PSYCHIATRY PLLC
Practice address
831 Bedford Ave Ste 497
Brooklyn, NY 11205-2801
Phone
(347) 667-7924
Fax
(332) 262-2396
NPI assigned
Jan 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Mahmood Mehdi Kazmi, MDNPI 1669438875
Title
Owner
Phone
(347) 667-7924

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

831 Bedford Ave Ste 497
Brooklyn, NY 11205-2801

Mailing address

831 Bedford Ave Ste 497
Brooklyn, NY 11205-2801
Phone (347) 667-7924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128002441 NY Part B Supplier - Clinic/Group Practice 6204314669 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1528926862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BEDFORD AVE STE 497",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052801",
            "telephone_number": "347-667-7924",
            "fax_number": "332-262-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BEDFORD AVE STE 497",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052801",
            "telephone_number": "347-667-7924",
            "fax_number": "332-262-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-667-7924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.