Well Space Nurse Practitioner in Psychiatry and Family Health PLLC
NPI 1184376055 · Medical Specialty Clinic/Center · Brooklyn, NY
Well Space Nurse Practitioner in Psychiatry and Family Health PLLC is a Medical Specialty Clinic/Center organization in Brooklyn, NY (NPI 1184376055).
Provider details
- NPI number
- 1184376055
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Jackson, Owner(347) 696-1375
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-21
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's NPI number?
- Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's National Provider Identifier (NPI) is 1184376055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Well Space Nurse Practitioner in Psychiatry and Family Health PLLC?
- Well Space Nurse Practitioner in Psychiatry and Family Health PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Well Space Nurse Practitioner in Psychiatry and Family Health PLLC located?
- Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's practice location on file with NPPES is 266 Broadway Ste 401, Brooklyn, NY 11211-6306.
- What is Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Well Space Nurse Practitioner in Psychiatry and Family Health PLLC is (347) 696-1375.
- Who is the authorized official for Well Space Nurse Practitioner in Psychiatry and Family Health PLLC?
- The authorized official listed on Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's NPPES record is Kimberly Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's NPI active?
- Yes — Well Space Nurse Practitioner in Psychiatry and Family Health PLLC's NPI (1184376055) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.