Clearmind Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CLEARMIND PSYCHIATRY LLC

Practice address

1755 N Brown Rd Ste 200
Lawrenceville, GA 30043-8196

Phone

(732) 516-8021

NPI assigned

Sep 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Farhana Kaderin, MDNPI 1831531227

Title

Psychiatrist

Phone

(732) 516-8021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Networks

• SC HMO

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farhana Kaderin

  • Psychiatry Physician
  • Monroe, GA
  • NPI 1831531227
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1013492891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N BROWN RD STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438196",
            "telephone_number": "732-516-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N BROWN RD STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438196",
            "telephone_number": "732-516-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARMIND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "KADERIN",
        "authorized_official_first_name": "FARHANA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "732-516-8021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Claudio-Gonzalez
• David Lewis Clay, PT, DPT, COMT
• Engle Clay, ALMFT
• Marlena Clayton
• Clear Choice Family Medicine, Inc
• Ansley Kristen Clements
• Edward Claude Clermont, MD
• Jocelyn Ariana Clethen
• Julie G Cleveland, P.T.
• Nyesha Charmaine Climpson, CCC-SLP

• Psychiatry Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.