Fully Wellness NP in Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FULLY WELLNESS NP IN PSYCHIATRY, PLLC

Practice address

520 White Plains Rd Ste 500
Tarrytown, NY 10591-5118

Phone

(914) 708-3333

Fax

(914) 491-3297

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yuriy Bortnik

Title

Owner

Phone

(914) 708-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1801790746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WHITE PLAINS RD STE 500",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915118",
            "telephone_number": "914-708-3333",
            "fax_number": "914-491-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WHITE PLAINS RD STE 500",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915118",
            "telephone_number": "914-708-3333",
            "fax_number": "914-491-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY WELLNESS NP IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BORTNIK",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-708-3333"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Georgina Frias, RN
• Solangie Frias, LIMITED PERMIT - MHC
• Madeline Ann Fritz, LMSW
• Jeremy William Frutkin, MS
• Arleen R Fullwood
• Carolyn Dawn Funke, LMSW
• G. Richard Parrino, M.D., P.C.
• Michele R Gabel, SLP
• Kelly Gamm
• La-Dream Garcia

• Psychiatric/Mental Health Nurse Practitioner in Tarrytown, NY
• Providers in Tarrytown, 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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.