Holistic Minds Corp
Nurse Practitioner, Psych/Mental Health in Merrick, NY. Organization (NPI-2).
NPI number1376409706
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1376409706
- Entity type
- Organization (NPI-2)
- Legal business name
- Holistic Minds Corp
- Organization subpart
- No
- Enumeration date
- Dec 30, 2025
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
2116 Merrick Ave Ste 3008aMerrick, NY 11566-3410
Phone 516-399-5212
Mailing address
2116 Merrick Ave Ste 3008aMerrick, NY 11566-3410
Phone 516-399-5212
Authorized official
Edline Antoine
Owner
5165285186
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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