Organization Active NPI

Resilient Mind Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethany, CT
National Provider Identifier
1861234114
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESILIENT MIND BEHAVIORAL HEALTH PLLC
Practice address
649 Amity Rd
Bethany, CT 06524-3091
Phone
(475) 262-9608
Fax
(475) 275-7247
NPI assigned
Jun 8, 2024
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Mrs. Lasharon Hernandez, APRNNPI 1669046926
Title
Mental Health Aprn
Phone
(203) 233-3771

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

649 Amity Rd
Bethany, CT 06524-3091

Mailing address

649 Amity Rd
Bethany, CT 06524-3091
Phone (475) 262-9608

National Provider Directory

National Provider Directory

Locations

649 Amity Rd
Bethany, CT 06524
Phone (203) 206-3316

140 Captain Thomas Blvd
Ste 205
West Haven, CT 06516
Phone (203) 444-5159

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": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1861234114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 AMITY RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243091",
            "telephone_number": "475-262-9608",
            "fax_number": "475-275-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 AMITY RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243091",
            "telephone_number": "475-262-9608",
            "fax_number": "475-275-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MIND BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LASHARON",
        "authorized_official_title_or_position": "MENTAL HEALTH APRN",
        "authorized_official_telephone_number": "203-233-3771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.