| Mind Your Mind | |
|
2083 Klockner Rd Hamilton NJ 08690-3415 | |
| (732) 580-9096 | |
| Not Available |
| Full Name | Mind Your Mind |
|---|---|
| Speciality | Clinic/Center |
| Location | 2083 Klockner Rd, Hamilton, New Jersey |
| Authorized Official Name and Position | Tanya Dubinsky (OWNER / PRESIDENT) |
| Authorized Official Contact | 7325809096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Your Mind 20 Westbrook Dr Morganville NJ 07751-1033 Ph: (732) 580-9096 | Mind Your Mind 2083 Klockner Rd Hamilton NJ 08690-3415 Ph: (732) 580-9096 |
| NPI Number | 1053955096 |
|---|---|
| Provider Enumeration Date | 11/02/2019 |
| Last Update Date | 02/08/2020 |
| Certification Date | 02/08/2020 |
| Medicare PECOS PAC ID | 6002242690 |
|---|---|
| Medicare Enrollment ID | O20200129002828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053955096 | NPI | - | NPPES |
| Provider Name | Rebecca Helen Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720465958 PECOS PAC ID: 5193035103 Enrollment ID: I20151103002451 |
| Provider Name | Tiffiny Shantay Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942622915 PECOS PAC ID: 8325329188 Enrollment ID: I20170110001962 |
| Provider Name | Karen A Yeboah Norment |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955094 PECOS PAC ID: 6507149515 Enrollment ID: I20170216000872 |
| Provider Name | Kesha Eden Cheron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557184 PECOS PAC ID: 8123363793 Enrollment ID: I20181231001078 |
| Provider Name | Oksana A Libelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922564566 PECOS PAC ID: 8527396944 Enrollment ID: I20190823000172 |
| Provider Name | Alice L Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245870658 PECOS PAC ID: 3870929698 Enrollment ID: I20200213002663 |
| Provider Name | Tina Marie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366021222 PECOS PAC ID: 6406255744 Enrollment ID: I20210519000627 |
| Provider Name | Natalie Berrette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700554615 PECOS PAC ID: 7517317217 Enrollment ID: I20231221000127 |
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