Active NPI
Nova Mentality, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Riverview, FL
National Provider Identifier
1679413298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NOVA MENTALITY, LLC
- Practice address
- 3905 Crescent Park Dr
Riverview, FL 33578-3625 - Phone
- (813) 580-5000
- NPI assigned
- Mar 31, 2026
- 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
- Sandra Mae Reynolds, PMHNP-BC
- Title
- Owner
- Phone
- (813) 580-5000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3905 Crescent Park Dr
Riverview, FL 33578-3625
Mailing address
3905 Crescent Park Dr
Riverview, FL 33578-3625
Phone (813) 580-5000
National Provider Directory
National Provider DirectoryLocations
3905 Crescent Park Dr
Riverview, FL 33578
Phone (813) 580-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Riverview, FL
- NPI 1619832060
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1679413298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 CRESCENT PARK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783625",
"telephone_number": "813-580-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 CRESCENT PARK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783625",
"telephone_number": "813-580-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA MENTALITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-31",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-580-5000",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.