Modern Mind Therapeutic Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Clifton, New Jersey
1114502929- Practice location
- 49 Kulick St, Clifton, NJ 07011-2375
- Phone
- 973-930-9749
- Fax
- —
- Last updated
- March 12, 2021
Modern Mind Therapeutic Services LLC is a healthcare organization based in Clifton, NJ. Modern Mind Therapeutic Services LLC practices in Clifton, NJ. The NPI Number for Modern Mind Therapeutic Services LLC is 1114502929. The current practice location address for Modern Mind Therapeutic Services LLC is 49 Kulick St, Clifton, NJ 07011-2375 and can be reached out via phone at 973-930-9749.
Provider Profile Details
- NPI Number
- 1114502929
- Provider Name
- Modern Mind Therapeutic Services LLC
- Provider Entity Type
- Organization
- Address
- 49 Kulick St, Clifton, NJ 07011-2375
- Phone Number
- 973-930-9749
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Jessica Ayala, LCSW · Therapist/ Owner · 973-930-9749
- Other Names
- Modern Mind Therapy (Doing Business As)
- Provider Enumeration Date
- March 12, 2021
- Last Update Date
- March 12, 2021
- Certification Date
- March 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Kulick St
Clifton, NJ 07011-2375 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-2375
- Phone Number
- 973-930-9749
Provider Business Mailing Address Details
- Address
- 1114 Main Ave Unit 6035
Clifton, NJ 07015-7200 - City
- Clifton
- State
- NJ
- Zip
- 07015-7200
- Phone Number
- 973-910-0900
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (3)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Modern Mind Therapeutic Services LLC?
The NPI number of Modern Mind Therapeutic Services LLC is 1114502929. It was assigned on March 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Modern Mind Therapeutic Services LLC?
Modern Mind Therapeutic Services LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Modern Mind Therapeutic Services LLC practice?
The practice location is 49 Kulick St, Clifton, NJ 07011-2375. The office can be reached at 973-930-9749 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114502929 directly on the NPPES registry website.