Organization Active NPI

Mind Body Connect Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1831028794
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND BODY CONNECT NURSE PRACTITIONER IN PSYCHIATRY PLLC
Practice address
442 Lorimer St Ste D5055
Brooklyn, NY 11206-1030
Phone
(646) 718-6938
Fax
(929) 990-2842
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Tezra White, PMHNP-BC, FNP-BCNPI 1952934515
Title
President
Phone
(718) 844-2017

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

442 Lorimer St Ste D5055
Brooklyn, NY 11206-1030

Mailing address

442 Lorimer St Ste D5055
Brooklyn, NY 11206-1030
Phone (646) 718-6938

National Provider Directory

National Provider Directory

Locations

442 Lorimer St
Ste D5055
Brooklyn, NY 11206
Phone (516) 453-0721

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": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1831028794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LORIMER ST STE D5055",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061030",
            "telephone_number": "646-718-6938",
            "fax_number": "929-990-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 LORIMER ST STE D5055",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061030",
            "telephone_number": "646-718-6938",
            "fax_number": "929-990-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY CONNECT NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TEZRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-844-2017",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.