Mind Matrix

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND MATRIX

Practice address

5918 Main St Ste 105
Mays Landing, NJ 08330-1721

Phone

(609) 908-4790

Fax

(609) 739-8843

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Linda Benner, PMHNPNPI 1285268144

Title

Owner

Phone

(609) 908-4790

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Linda Benner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mays Landing, NJ
  • NPI 1285268144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1144939729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 MAIN ST STE 105",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301721",
            "telephone_number": "609-908-4790",
            "fax_number": "609-739-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 MAIN ST STE 105",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301721",
            "telephone_number": "609-908-4790",
            "fax_number": "609-739-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATRIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-908-4790",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

• Cheryl J Mercer, LCSW
• Mercy Medical Associates of Mays Landing PA
• William Anthony Merlino, MD
• Charles J. Middleton, DO
• Dana Migliaccio, MSW, LSW, LCADC
• Maria C Mingroni, RPH
• Mayra Mitchell, REGISTERED NURSE BSN
• Anais Mixson, ATC
• Hyejung Mok
• Ashlee Moran, SLP

• Psychiatric/Mental Health Nurse Practitioner in Mays Landing, NJ
• Providers in Mays Landing, 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 May 18, 2023; 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.