Active NPI
Mindspace Mental Health
- Clinical Social Worker
- Somerset, NJ
National Provider Identifier
1093463804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDSPACE MENTAL HEALTH
- Practice address
- 900 Easton Ave, Ste 26 #226
Somerset, NJ 08873 - Phone
- (844) 222-1323
- NPI assigned
- Mar 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Osoria, LCSW, LCADC, LCSW-C
- Title
- Owner
- Phone
- (844) 222-1323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
900 Easton Ave, Ste 26 #226
Somerset, NJ 08873
Mailing address
280 Clark St Apt 1C
Hackensack, NJ 07601-1063
Phone (844) 222-1323
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Gaithersburg, MD
- NPI 1861017121
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646956800000",
"number": "1093463804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CLARK ST APT 1C",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011063",
"telephone_number": "844-222-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 EASTON AVE, STE 26 #226",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "844-222-1323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDSPACE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A",
"authorized_official_last_name": "OSORIA",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "844-222-1323",
"authorized_official_credential": "LCSW, LCADC, LCSW-C"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.