Rooted Mind Psychiatric Services, PLLC
Nurse Practitioner, Psych/Mental Health in Bala Cynwyd, PA. Organization (NPI-2).
NPI number1376464438
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1376464438
- Entity type
- Organization (NPI-2)
- Legal business name
- Rooted Mind Psychiatric Services, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
191 Presidential Blvd Ste W3Bala Cynwyd, PA 19004-1205
Phone 215-550-1614
Mailing address
191 Presidential Blvd Ste W3Bala Cynwyd, PA 19004-1205
Phone 215-550-1614
Authorized official
Melissa Brubaker
Owner
2155501614
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All 12 Psychiatric/Mental Health Nurse Practitioner providers in Bala Cynwyd · All 1,221 providers in Bala Cynwyd
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