# MINDFUL PSYCHIATRY

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

## Provider details

- **NPI number:** 1417769415
- **Authorized official:** JUDI N EXANTUS (OPERATIONS DIRECTOR)
- **Authorized official phone:** (786) 522-7768

## Contact information

- **Practice address:** 261 OLD YORK RD STE 526, JENKINTOWN, PA 19046-3721
- **Practice address phone:** (215) 806-7223
- **Mailing address:** 261 OLD YORK RD STE 526, JENKINTOWN, PA 19046-3721
- **Mailing address phone:** (610) 697-9885
- **Mailing address fax:** (215) 714-7395

## 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:** 01/25/2025
- **Last updated:** 10/07/2025