Mindful NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL NP IN PSYCHIATRY PLLC

Practice address

5 Laura Rd
Monroe, NY 10950-5206

Phone

(845) 659-4508

Fax

(845) 654-8645

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Cassandra FortuneNPI 1205230182

Title

Pmhnp-C

Phone

(845) 659-4508

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Cassandra Fortune, MSN, MBA, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, NY
  • NPI 1205230182
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1558178764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAURA RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LAURA RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505206",
            "telephone_number": "845-659-4508",
            "fax_number": "845-654-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PMHNP-C",
        "authorized_official_telephone_number": "845-659-4508"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Miller, DC
• Lawrence Daniel Miller, O.D.
• Shari Miller
• Krystal Mims
• Mindful Neurology, PLLC
• Michal Pessel Mindick
• Efroim Minzer
• Naftali Minzer, PA-C
• Lauren Nicole Miranda, LMHC
• Tatiana Miranda

• Psychiatric/Mental Health Nurse Practitioner in Monroe, NY
• Providers in Monroe, 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 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.