Active NPI
Healing Hearts Healing Minds LLC
- Psychiatric/Mental Health Nurse Practitioner
- Emerson, NJ
National Provider Identifier
1124902705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEALING HEARTS HEALING MINDS LLC
- Practice address
- 436 Old Hook Rd # E109
Emerson, NJ 07630-2301 - Phone
- (201) 936-1315
- Fax
- (201) 603-7328
- NPI assigned
- Aug 5, 2025
- 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
- Ms. Odetta R Suarez, PMHNP-BC, FNP-BC
- Title
- Advanced Practice Nurse
- Phone
- (201) 218-7473
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
436 Old Hook Rd # E109
Emerson, NJ 07630-2301
Mailing address
436 Old Hook Rd # E109
Emerson, NJ 07630-2301
Phone (201) 936-1315
National Provider Directory
National Provider DirectoryLocations
436 Old Hook Rd
#E109
Emerson, NJ 07630
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": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1124902705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 OLD HOOK RD # E109",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076302301",
"telephone_number": "201-936-1315",
"fax_number": "201-603-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 OLD HOOK RD # E109",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076302301",
"telephone_number": "201-936-1315",
"fax_number": "201-603-7328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HEARTS HEALING MINDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "ODETTA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
"authorized_official_telephone_number": "201-218-7473",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PMHNP-BC, FNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emerson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.