MIND HARBOR PSYCHIATRIC SERVICES LLC
NPI 1689493793
Nurse Practitioner - Psychiatric/Mental Health in Elizabeth, NJ

Q: 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.

Q: 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.

Active since October 07, 2024

162 ELMORA AVE STE 416, ELIZABETH, NJ 07202(484) 542-3768 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 Elizabeth, New Jersey and active in the NPI registry since October 2024. The organization lists Jermaine Nnaeto, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689493793

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND HARBOR PSYCHIATRIC SERVICES LLC

Location Address162 ELMORA AVE STE 416Elizabeth, NJ 07202-1148

Mailing Address162 Elmora Ave Ste 416Elizabeth, NJ 07202-1148 · (484) 542-3768

Phone(484) 542-3768

Organization SubpartNo

Authorized OfficialJermaine NnaetoCeo · (484) 542-3768

Enumeration DateOctober 7, 2024

NPPES CertifiedOctober 3, 2024

✔ NPI 1689493793 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

162 ELMORA AVE STE 416, Elizabeth, NJ 07202

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANEL JETER

Nurse Practitioner (Psychiatric/Mental Health)

162 ELMORA AVE STE 416
ELIZABETH, NJ 07202

Union County (862) 262-1298

MR. JERMAINE A NNAETO PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

162 ELMORA AVE STE 416
ELIZABETH, NJ 07202

Union County (908) 488-6003

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 162 Elmora Ave Ste 416, Elizabeth, NJ 07202. 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.

When was this NPI record last updated?

The NPPES record for Mind Harbor Psychiatric Services LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.