Organization Active NPI

Priority Health Care

Doing business as MindCare

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1780421180
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PRIORITY HEALTH CARE
Doing business as
MindCare
Wow Weight Loss
iMAT: Individualized Medication-Assisted Treatment
Practice address
152 East 118TH Street
Suite # S1
New York, NY 10035
Phone
(888) 341-6401
Fax
(888) 404-1588
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Ted Morris, DNP, APRN, FNP-BCNPI 1982008132
Title
Nurse Practitioner
Phone
(888) 341-6401

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

152 East 118TH Street
Suite # S1
New York, NY 10035

Mailing address

152 East 118TH Street
Suite # S1
New York, NY 10035
Phone (888) 341-6401

Other practice location 1

6779 Memphis Ave Ste 9
Brooklyn, OH 44144-2218
Phone (888) 341-6401

Other names 3

  • MindCare Doing business as
  • Wow Weight Loss Doing business as
  • iMAT: Individualized Medication-Assisted Treatment Doing business as

National Provider Directory

National Provider Directory

Locations

6779 Memphis Ave
Ste 9
Brooklyn, OH 44144
Phone (888) 341-6401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1780421180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 EAST 118TH STREET",
            "address_2": "SUITE # S1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 EAST 118TH STREET",
            "address_2": "SUITE # S1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6779 Memphis Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441442218",
            "country_code": "US",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIORITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "888-341-6401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wow Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iMAT: Individualized Medication-Assisted Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.