Provider Demographics
NPI:1568061935
Name:STABLE MINDS INC
Entity Type:Organization
Organization Name:STABLE MINDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, MSN, NPP
Authorized Official - Phone:518-441-2574
Mailing Address - Street 1:55 RAILROAD PL APT 402
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2242
Mailing Address - Country:US
Mailing Address - Phone:518-441-2574
Mailing Address - Fax:518-244-8495
Practice Address - Street 1:75 RAILROAD PL
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2124
Practice Address - Country:US
Practice Address - Phone:518-441-2574
Practice Address - Fax:518-244-8495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-18
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty