Baraka Psychiatric Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BARAKA PSYCHIATRIC HEALTHCARE LLC

Practice address

1199 US Highway 22
Mountainside, NJ 07092-2807

Phone

(973) 534-2734

Fax

(908) 398-2660

NPI assigned

Dec 12, 2025

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fanta MianNPI 1477216224

Title

Apn/Owner

Phone

(973) 534-2734

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, and the practitioner matching its NPPES authorized official.

• Fanta Mian

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackensack, NJ
  • NPI 1477216224
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1114881372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 STANDISH AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834939",
            "telephone_number": "973-534-2734",
            "fax_number": "908-398-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 US HIGHWAY 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922807",
            "telephone_number": "973-534-2734",
            "fax_number": "908-398-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA PSYCHIATRIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "FANTA",
        "authorized_official_title_or_position": "APN/OWNER",
        "authorized_official_telephone_number": "973-534-2734"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Assante, MS, CCC-SLP
• Atc Healthcare
• Danielle T Ayer, PT
• Kimberly Baglieri
• Himani Bajaj, PT, DPT
• Michelle Andre Barbagallo, O.T.
• Philip A Baseil, R.PH.
• Anna Malia Beckwith, MD
• Annemarie Berry, DPT
• Ayesha Bhonsle, DPT

• Psychiatric/Mental Health Nurse Practitioner in Mountainside, NJ
• Providers in Mountainside, 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 Dec 12, 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.