Cny Mind & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CNY MIND & WELLNESS LLC

Practice address

258 Genesee St Ste 202
Utica, NY 13502-4636

Phone

(315) 335-1285

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By 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

Mr. Eric M TaubertNPI 1467234245

Title

Ceo

Phone

(315) 335-1285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• Hillary Anne Kelly, MS, FNP-C

  • Nurse Practitioner
  • Herkimer, NY
  • NPI 1386709608

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Eric Michael Taubert

  • Multi-Specialty Clinic/Center
  • Utica, NY
  • NPI 1467234245
  Medicare reassignment NPD Authorized official
• Alicia Marie Turner, PA-C

  • Physician Assistant
  • Saratoga Springs, NY
  • NPI 1598322596
  Medicare reassignment Care Compare group NPD
• Christopher Emerson, RPA C

  • Physician Assistant
  • Utica, NY
  • NPI 1689650392
  Medicare reassignment NPD
• Steven Mark Fogelman, M.D.

  • Psychiatry Physician
  • Rome, NY
  • NPI 1821137712
  Medicare reassignment NPD
• Caitlin A. Ullman, PA

  • Physician Assistant
  • Utica, NY
  • NPI 1427617935
  Medicare reassignment NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1811727613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STROUD ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321425",
            "telephone_number": "315-335-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 GENESEE ST STE 202",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024636",
            "telephone_number": "315-335-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY MIND & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "TAUBERT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-335-1285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Utica, NY
• Providers in Utica, 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 Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.