Mind Your Munchkin NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND YOUR MUNCHKIN NP IN PSYCHIATRY PLLC

Practice address

2409 Avenue Z
Brooklyn, NY 11235-2631

Phone

(401) 566-8175

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Ruslan BerdichevskyNPI 1700120946

Title

Owner/Pmhnp

Phone

(401) 566-8175

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruslan Berdichevsky, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1700120946
  NPD Authorized official
• Yelena Geller-Berdichevsky, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1356965594
  NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1689430340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LONG BEACH RD # 1075",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352631",
            "telephone_number": "401-566-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 C New York Avenue",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "11743",
            "country_code": "US",
            "telephone_number": "347-234-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND YOUR MUNCHKIN NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BERDICHEVSKY",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "401-566-8175"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Orientation Licensed Behavior Analyst PLLC (Mind Go Applied Behavior Analyst)
• Mind Over Matter Psychiatry LLC
• Mind Quest Mental Health Counseling PLLC
• Mind Spring Therapy LCSW PLLC
• Mind Wellness Professional Psychiatric Services PC
• Daniel Carl Minde
• Michelle Mindel
• Mindful Care NP in Psychiatry and NP in Adult Health PC
• Mindful Embrace Mental Health Counseling PLLC
• Mindful Mental Health Counseling Services PLLC

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 21, 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.