MIND HARBOR PSYCHIATRIC SERVICES LLC
NPI 1689493793
Nurse Practitioner - Psychiatric/Mental Health in Union, NJ
About Mind Harbor Psychiatric Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND HARBOR PSYCHIATRIC SERVICES LLC (NPI 1689493793) is a healthcare organization registered as a psychiatric/mental health in Union, New Jersey and active in the NPI registry since October 2024. The organization lists Jermaine Nnaeto, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mind Harbor Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mind Harbor Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Mind Harbor Psychiatric Services LLC's NPI number?
The NPI number for Mind Harbor Psychiatric Services LLC is 1689493793. It was assigned to this organization in the NPPES registry on October 7, 2024.
Where is Mind Harbor Psychiatric Services LLC located?
Mind Harbor Psychiatric Services LLC is located at 1767 Morris Ave Ste 303B, Union, NJ 07083. The listed phone number is (484) 542-3768.
What is Mind Harbor Psychiatric Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mind Harbor Psychiatric Services LLC enrolled in Medicare?
Yes. Mind Harbor Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Harbor Psychiatric Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mind Harbor Psychiatric Services 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mind Harbor Psychiatric Services LLC was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Mind Harbor Psychiatric Services Llc · NPI 1689493793
Psychiatric/Mental Health organization in Union, New Jersey. Organization record, active in the CMS NPPES registry since October 7, 2024.
## Identity
- **NPI:** 1689493793 (Entity type: Organization)
- **Enumerated:** October 7, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jermaine Nnaeto, CEO
## Practice location
- **Address:** 1767 MORRIS AVE STE 303B, Union, NJ 07083-3511
- **Phone:** (484) 542-3768
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689493793) · Data from the CMS NPPES public registry.