NPIMap

Organization Active NPI

Nozayah Mind Institute LLC

  • Adult Mental Health Clinic/Center
  • Edison, NJ
National Provider Identifier
1104635945
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NOZAYAH MIND INSTITUTE LLC
Practice address
20 N Evergreen Rd
Edison, NJ 08837-2218
Phone
(347) 406-0853
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Authorized official

Name
Mr. Saheed A JaladeNPI 1336843259
Title
Pmhnp
Phone
(347) 406-0853

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

20 N Evergreen Rd
Edison, NJ 08837-2218

Mailing address

245 N Gannon Ave Apt 3C
Staten Island, NY 10314-4374
Phone (347) 406-0853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737244800000",
    "number": "1104635945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N GANNON AVE APT 3C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144374",
            "telephone_number": "347-406-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N EVERGREEN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372218",
            "telephone_number": "347-406-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOZAYAH MIND INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "JALADE",
        "authorized_official_first_name": "SAHEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "347-406-0853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.