Mind Restoration LLC
NPI 1336912732 · Neurodevelopmental Disabilities Physician · Albany, NY
Mind Restoration LLC is a Neurodevelopmental Disabilities Physician organization in Albany, NY (NPI 1336912732).
Provider details
- NPI number
- 1336912732
- Entity type
- Organization
- Primary specialty
- Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Latisha Myrie, Ceo(833) 294-6969
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-11-07
- Last updated
- 2023-11-07
- Certified
- 2023-11-06
Frequently asked questions
- What is Mind Restoration LLC's NPI number?
- Mind Restoration LLC's National Provider Identifier (NPI) is 1336912732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Restoration LLC?
- Mind Restoration LLC is classified in the NPPES registry as Neurodevelopmental Disabilities Physician (Allopathic & Osteopathic Physicians).
- Where is Mind Restoration LLC located?
- Mind Restoration LLC's practice location on file with NPPES is 418 Broadway Ste Y, Albany, NY 12207-2922.
- What is Mind Restoration LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Restoration LLC is (833) 294-6969.
- Who is the authorized official for Mind Restoration LLC?
- The authorized official listed on Mind Restoration LLC's NPPES record is Latisha Myrie, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Restoration LLC's NPI active?
- Yes — Mind Restoration LLC's NPI (1336912732) is active in the NPPES registry as of the last update on 2023-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.