Organization · Type 2 NPI
Clearmind Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Port Reading, NJ
NPI number
1205735917
Active
Practice location
136 Camelot Dr
Port Reading, NJ 07064
Mailing address
110 Fieldcrest Ave., Mailbox #30 Pmb 17770535
Edison, NJ 08837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1205735917
Clearmind Psychiatry LLC's National Provider Identifier is 1205735917, issued on Nov 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Reading, NJ. The record was last updated on Nov 2, 2026.