Organization Active NPI

Lucid Mind Care NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1750176418
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUCID MIND CARE NP IN PSYCHIATRY PLLC
Practice address
1218 Central Ave Ste 100
Albany, NY 12205-5329
Phone
(347) 921-2234
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Remmy Peterson, DNP, PMHNP-BCNPI 1598475279
Title
Psychiatric Nurse Practitioner
Phone
(917) 232-5491

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1218 Central Ave Ste 100
Albany, NY 12205-5329

Mailing address

1218 Central Ave Ste 100
Albany, NY 12205-5329

National Provider Directory

National Provider Directory

Locations

1218 Central Ave
Ste 100
Albany, NY 12205
Phone (347) 921-2234

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": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1750176418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 CENTRAL AVE STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 CENTRAL AVE STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055329",
            "telephone_number": "347-921-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID MIND CARE NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "REMMY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-232-5491",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "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": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.