Mind Sanctuary Recovery & Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND SANCTUARY RECOVERY & PSYCHIATRY

Practice address

100 E New York Ave Ste 103
Deland, FL 32724-5576

Phone

(689) 710-9530

Fax

(386) 218-0570

NPI assigned

May 4, 2026

Last updated

Aug 12, 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

Heather Johnson, APRN

Title

Pmhnp

Phone

(407) 729-9870

Specialties & licenses 1

Addresses

Tax ID family

Mind Sanctuary Recovery Psychiatry2 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.

• Mind Sanctuary Recovery & Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Deltona, FL
  • NPI 1114867090
  NPD tax ID

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1639016983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEW YORK AVE STE 103",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245576",
            "telephone_number": "689-710-9530",
            "fax_number": "386-218-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEW YORK AVE STE 103",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245576",
            "telephone_number": "689-710-9530",
            "fax_number": "386-218-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND SANCTUARY RECOVERY & PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "407-729-9870",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Michelle Gittner Miller, MA
• Michelle Diane Miller
• Noraland Miller, C.N.A
• Shelby Miller
• Andrew David Mills, D.P.T
• Angela Minett, BCABA
• Michelle Miranda
• Marjan Mirkheshti, DMD
• Danielle Nicole Modak, DPT
• Mohan L Sharma MD PA

• Psychiatric/Mental Health Nurse Practitioner in Deland, FL
• Providers in Deland, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.