Latisha Myrie

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403968 Issued in NY

Practice address

1309 Fulton Ave FL 2
Bronx, NY 10456-2403

Phone

(917) 932-4917

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Med Wellness Diagnostic LLC

  • Clinic/Center
  • Albany, NY
  • NPI 1245920099
  NPD Authorized official
• Mind Restoration LLC

  • Neurodevelopmental Disabilities Physician
  • Albany, NY
  • NPI 1336912732

  Multi-Specialty

  NPD Authorized official
• Path NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1811856214
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1679225502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 ASTORIA BLVD STE 250",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701131",
            "telephone_number": "917-932-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 FULTON AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562403",
            "telephone_number": "917-932-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRIE",
        "first_name": "LATISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403968",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kizzy Nicole Myke, LMSW
• Vladyslav Mykhalskyy, M.D.
• Catherine Mykytiuk
• Mary Elizabeth Mylott-Fasano, FNP
• Mypath DX Laboratories LLC
• Patricia Myrie, RN
• Myth Services Inc
• Tanille Myton, RN
• N Route Transportation LLC
• N.L. Psychotherapy Services LCSW PC

• Psychiatric/Mental Health Nurse Practitioner in Bronx, NY
• Providers in Bronx, 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 Apr 21, 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.