Mindspace Clinic
Nurse Practitioner, Psych/Mental Health in East Orange, New Jersey
1134857642- Practice location
- 137 Evegreen Place, Suite 1B, East Orange, NJ 07018-2005
- Phone
- 201-407-0702
- Fax
- —
- Last updated
- August 11, 2022
Mindspace Clinic is a healthcare organization based in East Orange, NJ. Mindspace Clinic practices in East Orange, NJ. The NPI Number for Mindspace Clinic is 1134857642. The current practice location address for Mindspace Clinic is 137 Evegreen Place, Suite 1B, East Orange, NJ 07018-2005 and can be reached out via phone at 201-407-0702.
Provider Profile Details
- NPI Number
- 1134857642
- Provider Name
- Mindspace Clinic
- Provider Entity Type
- Organization
- Address
- 137 Evegreen Place, Suite 1B, East Orange, NJ 07018-2005
- Phone Number
- 201-407-0702
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Lilian Kordie, NPA · Provider · 201-407-0702
- Provider Enumeration Date
- August 11, 2022
- Last Update Date
- August 11, 2022
- Certification Date
- August 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 137 Evegreen Place
Suite 1B
East Orange, NJ 07018-2005 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2005
- Phone Number
- 201-407-0702
Provider Business Mailing Address Details
- Address
- 137 Evegreen Place
East Orange, NJ 07018-2005 - City
- East Orange
- State
- NJ
- Zip
- 07018-2005
- Phone Number
- 201-407-0702
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mindspace Clinic?
The NPI number of Mindspace Clinic is 1134857642. It was assigned on August 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Mindspace Clinic?
Mindspace Clinic is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Mindspace Clinic practice?
The practice location is 137 Evegreen Place, Suite 1B, East Orange, NJ 07018-2005. The office can be reached at 201-407-0702 (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 1134857642 directly on the NPPES registry website.