Mindstate Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSTATE HEALTH LLC

Practice address

796 Mount Prospect Ave
Newark, NJ 07104-3223

Phone

(908) 493-5052

Fax

(908) 643-7240

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Patrice Gutt, PMHNPNPI 1881170215

Title

Sole Owner

Phone

(908) 493-5052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Patrice Gutt, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1881170215
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1073326591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043223",
            "telephone_number": "908-493-5052",
            "fax_number": "908-643-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043223",
            "telephone_number": "908-493-5052",
            "fax_number": "908-643-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSTATE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "GUTT",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "908-493-5052",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheeta Milton
• George Ehab Mina, MD
• Christine Minassian
• Mindful Muse Solutions, LLC
• Mindjoy Behavioral Health Services LLC
• Melanie Minges, LPC
• Ghayoour Sattar Mir, D.O.
• Marwa Safora Mir
• Sadie Mirabal, D.O
• Neena Mirani, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.