Organization Active NPI

Mente Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wind Gap, PA
National Provider Identifier
1841962941
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTE HEALTH LLC
Practice address
101 S Fairview Ave
Wind Gap, PA 18091-1416
Phone
(570) 580-4472
Fax
(570) 796-0047
NPI assigned
Sep 28, 2021
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Michelle M ZuccariniNPI 1962686519
Title
Owner
Phone
(610) 657-1142

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 Practitioner 363LP0808X Primary

Addresses

Primary practice location

101 S Fairview Ave
Wind Gap, PA 18091-1416

Mailing address

3764 Easton Nazareth Hwy # 1008
Easton, PA 18045-8340
Phone (570) 580-4472

Other practice location 1

3800 Sierra Cir Ste 201
Center Valley, PA 18034-8476
Phone (610) 892-3800

Other identifiers 1

IdentifierTypeStateIssuer
1962686519MedicaidPA

National Provider Directory

National Provider Directory

Locations

3800 Sierra Cir
Ste 201
Center Valley, PA 18034

3735 Nazareth Rd
Easton, PA 18045
Phone (610) 250-4601

3764 Easton Nazareth Hwy
#1008
Easton, PA 18045

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1841962941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 EASTON NAZARETH HWY # 1008",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458340",
            "telephone_number": "570-580-4472",
            "fax_number": "570-796-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FAIRVIEW AVE",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911416",
            "telephone_number": "570-580-4472",
            "fax_number": "570-796-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Sierra Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "180348476",
            "country_code": "US",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ZUCCARINI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-657-1142"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962686519",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wind Gap, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.