Organization Active NPI

Gallant Minds Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, NJ
National Provider Identifier
1124918065
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GALLANT MINDS PSYCHIATRY
Practice address
108 Watchung Ave # 1010
Plainfield, NJ 07060-1251
Phone
(640) 204-5246
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Ann-Marie Faith AnthonyNPI 1518559749
Title
Owner
Phone
(640) 204-5246

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

108 Watchung Ave # 1010
Plainfield, NJ 07060-1251

Mailing address

108 Watchung Ave # 1010
Plainfield, NJ 07060-1251
Phone (640) 204-5246

National Provider Directory

National Provider Directory

Locations

108 Watchung Ave
#1010
Plainfield, NJ 07060
Phone (640) 204-5246

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1124918065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WATCHUNG AVE # 1010",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601251",
            "telephone_number": "640-204-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WATCHUNG AVE # 1010",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601251",
            "telephone_number": "640-204-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLANT MINDS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "640-204-5246"
    },
    "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 Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.