# SOUND MIND NURSE PRACTITIONER IN PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174458186
- **Authorized official:** MRS. AMANDA ELISA JOHNSON NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (585) 252-4401

## Contact information

- **Practice address:** 418 BROADWAY \# 11771, ALBANY, NY 12207-2922
- **Practice address phone:** (585) 252-4401
- **Mailing address:** 418 BROADWAY \# 11771, ALBANY, NY 12207-2922
- **Mailing address phone:** (585) 252-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2026
- **Last updated:** 06/15/2026