Organization Active NPI

Mindful Era NP in Psychiatry P.C.

Doing business as Mindful Era Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1790487619
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL ERA NP IN PSYCHIATRY P.C.
Doing business as
Mindful Era Psychiatry
Practice address
3010 41St Ave Ste 238
Long Island City, NY 11101-2814
Phone
(347) 947-2665
Fax
(347) 732-2087
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Rashad Previllon, PMHNP-BC
Title
Ceo
Phone
(347) 947-2665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3010 41St Ave Ste 238
Long Island City, NY 11101-2814

Mailing address

3010 41St Ave Ste 238
Long Island City, NY 11101-2814
Phone (347) 947-2665

Other names 1

  • Mindful Era Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

3010 41st Ave
Ste 238
Long Island City, NY 11101
Phone (347) 947-2665

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1790487619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 41ST AVE STE 238",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012814",
            "telephone_number": "347-947-2665",
            "fax_number": "347-732-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 41ST AVE STE 238",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012814",
            "telephone_number": "347-947-2665",
            "fax_number": "347-732-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ERA NP IN PSYCHIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "PREVILLON",
        "authorized_official_first_name": "RASHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-947-2665",
        "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": [
        {
            "organization_name": "Mindful Era Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.