Organization Active NPI

Preserving Healthy Minds, Nurse Practitioner of Psychiatry PLLC

  • Psychiatry Physician
  • Middletown, NY
National Provider Identifier
1669096699
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRESERVING HEALTHY MINDS, NURSE PRACTITIONER OF PSYCHIATRY PLLC
Practice address
493 Shoddy Hollow Rd
Middletown, NY 10940-7509
Phone
(845) 386-9979
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Saron Fong, PMHNP-BCNPI 1205253952
Title
Nurse Practitioner of Psychiatry
Phone
(718) 704-9974

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: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

493 Shoddy Hollow Rd
Middletown, NY 10940-7509

Mailing address

PO Box 673
Howells, NY 10932-0673
Phone (718) 704-9974

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.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1669096699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "HOWELLS",
            "state": "NY",
            "postal_code": "109320673",
            "telephone_number": "718-704-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 SHODDY HOLLOW RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109407509",
            "telephone_number": "845-386-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVING HEALTHY MINDS, NURSE PRACTITIONER OF PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "SARON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER OF PSYCHIATRY",
        "authorized_official_telephone_number": "718-704-9974",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.