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MINDSPACE CLINIC
NPI 1134857642
Nurse Practitioner - Psychiatric/Mental Health in East Orange, NJ

Active since August 11, 2022
137 EVEGREEN PLACE, SUITE 1B, EAST ORANGE, NJ 07018(201) 407-0702 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindspace Clinic NPPES

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

MINDSPACE CLINIC (NPI 1134857642) is a healthcare organization registered as a psychiatric/mental health in East Orange, New Jersey and active in the NPI registry since August 2022. The organization lists Lilian Kordie, Provider, as its authorized official.

NPPES Registry Identity

NPI1134857642
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDSPACE CLINIC
Location Address137 EVEGREEN PLACE, SUITE 1BEast Orange, NJ 07018-2005
Mailing Address137 Evegreen PlaceEast Orange, NJ 07018-2005 · (201) 407-0702
Phone(201) 407-0702
Organization SubpartNo
Authorized OfficialLilian KordieProvider · (201) 407-0702
Enumeration DateAugust 11, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1134857642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
137 EVEGREEN PLACE, East Orange, NJ 07018
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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

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 Mindspace Clinic's NPI number?

The NPI number for Mindspace Clinic is 1134857642. It was assigned to this organization in the NPPES registry on August 11, 2022.

Where is Mindspace Clinic located?

Mindspace Clinic is located at 137 Evegreen Place Suite 1B, East Orange, NJ 07018. The listed phone number is (201) 407-0702.

What is Mindspace Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mindspace Clinic was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.