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MODERN MIND THERAPEUTIC SERVICES LLC
NPI 1114502929
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clifton, NJ

Active since March 12, 2021
49 KULICK ST, CLIFTON, NJ 07011(973) 930-9749 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Mind Therapeutic Services Llc NPPES

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

MODERN MIND THERAPEUTIC SERVICES LLC (NPI 1114502929), doing business as Modern Mind Therapy, is a healthcare organization registered as a mental health (including community mental health center) in Clifton, New Jersey and active in the NPI registry since March 2021. The organization lists Jessica Ayala, Therapist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1114502929
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMODERN MIND THERAPEUTIC SERVICES LLC
Location Address49 KULICK STClifton, NJ 07011-2375
Mailing Address1114 Main Ave Unit 6035Clifton, NJ 07015-7200 · (973) 910-0900
Phone(973) 930-9749
Organization SubpartNo
Authorized OfficialJessica AyalaTherapist/ Owner · (973) 930-9749
Enumeration DateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1114502929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
49 KULICK ST, Clifton, NJ 07011
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Other Names 1

Doing Business AsModern Mind Therapy

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 Modern Mind Therapeutic Services LLC's NPI number?

The NPI number for Modern Mind Therapeutic Services LLC is 1114502929. It was assigned to this organization in the NPPES registry on March 12, 2021. The provider is doing business as Modern Mind Therapy.

Where is Modern Mind Therapeutic Services LLC located?

Modern Mind Therapeutic Services LLC is located at 49 Kulick St, Clifton, NJ 07011. The listed phone number is (973) 930-9749.

What is Modern Mind Therapeutic Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Modern Mind Therapeutic Services LLC was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.