Phoenix NP in Psychiatry and NP in Adult Health Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC

Practice address

12630 146TH St
South Ozone Park, NY 11436-1910

Phone

(347) 731-1563

NPI assigned

Dec 3, 2025

Organization subpart

No

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

Authorized official

Name

Bernadette L Mayers, NPNPI 1265771406

Title

Ceo

Phone

(347) 731-1563

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernadette L Mayers, NP

  • Adult Health Nurse Practitioner
  • South Ozone Park, NY
  • NPI 1265771406
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1932062247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 146TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361910",
            "telephone_number": "347-731-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 146TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361910",
            "telephone_number": "347-731-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "MAYERS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-731-1563",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "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": []
}

• Rishana Persaud
• Kimberly Paige Persico
• Rosemary Pertab
• Mauldree D Phillips
• Paul Matthew Phillips, LMSW
• Marcus Roger Pierre, RRT
• Mayra Plaza
• Deane A Pless, LMSW, MSW
• Quiana Plunkett, MSW
• Shalita Poonai

• Psychiatric/Mental Health Nurse Practitioner in South Ozone Park, NY
• Providers in South Ozone Park, 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 Mar 11, 2026; 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.