Active NPI
Peaceful Mind Nurse Practitioner in Psychiatry PC
Doing business as SAKINA'S T.E.A. House
- Psychiatric/Mental Health Nurse Practitioner
- Lindenhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PEACEFUL MIND NURSE PRACTITIONER IN PSYCHIATRY PC
- Doing business as
- SAKINA'S T.E.A. House
- Practice address
- 335 S Wellwood Ave
Lindenhurst, NY 11757-4906 - Phone
- (631) 609-0562
- NPI assigned
- Dec 1, 2023
- Last updated
- Dec 1, 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
- Sakina Starr Hayden, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (630) 609-0872
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
335 S Wellwood Ave
Lindenhurst, NY 11757-4906
Mailing address
1488 Deer Park Ave
North Babylon, NY 11703-1208
Phone (646) 434-6238
Other names 1
- SAKINA'S T.E.A. House
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Babylon, NY
- NPI 1538725494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1649046467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 DEER PARK AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031208",
"telephone_number": "646-434-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 S WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574906",
"telephone_number": "631-609-0562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL MIND NURSE PRACTITIONER IN PSYCHIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "HAYDEN",
"authorized_official_first_name": "SAKINA",
"authorized_official_middle_name": "STARR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-609-0872",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAKINA'S T.E.A. House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.