# HARVEST MIND NP IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1215759204
- **Authorized official:** SAMANTHA VASSOR NP (PSYCH NURSE PRACTITIONER, OWNER)
- **Authorized official phone:** (646) 991-7285

## Contact information

- **Practice address:** 400 RELLA BOULEVARD, SUITE 207-137, MONTEBELLO, NY 10901
- **Practice address phone:** (646) 991-7285
- **Practice address fax:** (866) 487-9572
- **Mailing address:** 400 RELLA BOULEVARD, SUITE 207-137, MONTEBELLO, NY 10901
- **Mailing address phone:** (646) 991-7285
- **Mailing address fax:** (866) 487-9572

## 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:** 10/30/2024
- **Last updated:** 08/08/2025