Organization Active NPI

Mindfulkid Child Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southampton, NY
National Provider Identifier
1932064078
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFULKID CHILD PSYCHIATRY PLLC
Practice address
61 Main St Ste C
Southampton, NY 11968-4870
Phone
(631) 460-7836
Fax
(631) 209-5030
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Lea Defrancisci Lis, MD
Title
Owner
Phone
(631) 460-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

61 Main St Ste C
Southampton, NY 11968-4870

Mailing address

61 Main St Ste C
Southampton, NY 11968-4870
Phone (631) 460-7836

National Provider Directory

National Provider Directory

Locations

61 Main St
Ste C
Southampton, NY 11968
Phone (631) 460-7836

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": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1932064078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST STE C",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684870",
            "telephone_number": "631-460-7836",
            "fax_number": "631-209-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST STE C",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684870",
            "telephone_number": "631-460-7836",
            "fax_number": "631-209-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULKID CHILD PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-21",
        "status": "A",
        "authorized_official_last_name": "DEFRANCISCI LIS",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-460-7836",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.