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NPI 1568043537 · live from the CMS NPI Registry

Animo Sano Psychiatry PLLC

Psychiatry & Neurology, Psychiatry in Durham, NC. National Provider Identifier 1568043537, active.

NPI record

NPI1568043537 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location5501 Fortunes Ridge Dr Ste P, Durham, NC 27713
Practice phone919-391-7202
EnumeratedApril 20, 2021
Last updatedDecember 17, 2025
Authorized officialMina Boazak, Founder And Medical Director

Taxonomies and licenses

TaxonomyCodeLicense
Clinic/Center, Adult Mental Health261QM0850X—
Clinic/Center, Adolescent and Children Mental Health261QM0855X—
Psychiatry & Neurology, Psychiatry primary2084P0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.