CLEARMIND PSYCHIATRY LLC
NPI 1013492891
Psychiatry & Neurology - Psychiatry in Lawrenceville, GA

Active since September 27, 2018
1755 N BROWN RD STE 200, LAWRENCEVILLE, GA 30043(732) 516-8021 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2019, Sep 27, 2018 (2 updates tracked since 2018).

About Clearmind Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEARMIND PSYCHIATRY LLC (NPI 1013492891) is a healthcare organization registered as a psychiatry in Lawrenceville, Georgia and active in the NPI registry since September 2018. The organization lists Farhana Kaderin, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1013492891
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCLEARMIND PSYCHIATRY LLC
Location Address1755 N BROWN RD STE 200Lawrenceville, GA 30043-8196
Mailing Address1755 N Brown Rd Ste 200Lawrenceville, GA 30043-8196 · (732) 516-8021
Organization SubpartNo
Authorized OfficialFarhana KaderinPsychiatrist · (732) 516-8021
Enumeration DateSeptember 27, 2018
Last NPPES UpdateMay 24, 20192 updates tracked since enumeration
✔ NPI 1013492891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1755 N BROWN RD STE 200, Lawrenceville, GA 30043

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clearmind Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clearmind Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1831531227
709 BREEDLOVE DR
Monroe, GA 30655
(732) 516-8019
✔ PECOS25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clearmind Psychiatry LLC's NPI number?

The NPI number for Clearmind Psychiatry LLC is 1013492891. It was assigned to this organization in the NPPES registry on September 27, 2018.

Where is Clearmind Psychiatry LLC located?

Clearmind Psychiatry LLC is located at 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043. The listed phone number is (732) 516-8021.

What is Clearmind Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Clearmind Psychiatry LLC enrolled in Medicare?

Yes. Clearmind Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clearmind Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Clearmind Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clearmind Psychiatry LLC was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.