Organization Active NPI

Well Brain and Body Mental Health and Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1821850769
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELL BRAIN AND BODY MENTAL HEALTH AND NURSING CORPORATION
Practice address
353 Lexington Ave FL 4
New York, NY 10016-0941
Phone
(800) 378-5668
Fax
(888) 778-3902
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Leroy Scott, PMHNPNPI 1780395244
Title
Owner
Phone
(800) 377-5668

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

353 Lexington Ave FL 4
New York, NY 10016-0941

Mailing address

1001 Wilshire Blvd # 2235
Los Angeles, CA 90017-2415
Phone (800) 378-5668

National Provider Directory

National Provider Directory

Locations

353 Lexington Ave
Fl 4
New York, NY 10016
Phone (301) 973-6102

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1821850769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WILSHIRE BLVD # 2235",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172415",
            "telephone_number": "800-378-5668",
            "fax_number": "888-778-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "800-378-5668",
            "fax_number": "888-778-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BRAIN AND BODY MENTAL HEALTH AND NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-377-5668",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 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.