Heart & Mind Wellness Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEART & MIND WELLNESS PSYCHIATRY LLC

Practice address

1418 Greeby St
Philadelphia, PA 19111-5505

Phone

(484) 939-6614

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 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

Samara Charles, NPNPI 1376410274

Title

Pmhnp

Phone

(267) 880-8118

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.

• Samara Lyse Beatrice Charles, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1376410274
  Authorized official Same address or phone

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1598662488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MUELLER RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GREEBY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115505",
            "telephone_number": "484-939-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & MIND WELLNESS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "267-880-8118",
        "authorized_official_credential": "NP"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.