# PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC

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

## Provider details

- **NPI number:** 1932062247
- **Authorized official:** BERNADETTE L MAYERS NP (CEO)
- **Authorized official phone:** (347) 731-1563

## Contact information

- **Practice address:** 12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
- **Practice address phone:** (347) 731-1563
- **Mailing address:** 12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
- **Mailing address phone:** (347) 731-1563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 03/11/2026