MINDSTATE HEALTH LLC
NPI 1073326591
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ
About Mindstate Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDSTATE HEALTH LLC (NPI 1073326591) is a healthcare organization registered as a psychiatric/mental health in Newark, New Jersey and active in the NPI registry since January 2025. The organization lists Patrice Gutt, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindstate Health 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 Mindstate Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mindstate Health LLC's NPI number?
The NPI number for Mindstate Health LLC is 1073326591. It was assigned to this organization in the NPPES registry on January 29, 2025.
Where is Mindstate Health LLC located?
Mindstate Health LLC is located at 796 Mount Prospect Ave, Newark, NJ 07104. The listed phone number is (908) 493-5052.
What is Mindstate Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindstate Health LLC enrolled in Medicare?
Yes. Mindstate Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindstate Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindstate Health 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 Mindstate Health LLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Mindstate Health Llc · NPI 1073326591
Psychiatric/Mental Health organization in Newark, New Jersey. Organization record, active in the CMS NPPES registry since January 29, 2025.
## Identity
- **NPI:** 1073326591 (Entity type: Organization)
- **Enumerated:** January 29, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Patrice Gutt, SOLE OWNER
## Practice location
- **Address:** 796 MOUNT PROSPECT AVE, Newark, NJ 07104-3223
- **Phone:** (908) 493-5052 · **Fax:** (908) 643-7240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073326591) · Data from the CMS NPPES public registry.