# ROOTED MIND PSYCHIATRIC SERVICES, PLLC

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

## Provider details

- **NPI number:** 1376464438
- **Authorized official:** MELISSA BRUBAKER CRNP (OWNER)
- **Authorized official phone:** (215) 550-1614

## Contact information

- **Practice address:** 191 PRESIDENTIAL BLVD STE W3, BALA CYNWYD, PA 19004-1205
- **Practice address phone:** (215) 550-1614
- **Mailing address:** 191 PRESIDENTIAL BLVD STE W3, BALA CYNWYD, PA 19004-1205
- **Mailing address phone:** (215) 550-1614

## 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:** 07/23/2026
- **Last updated:** 07/23/2026