Individual provider Active NPI

Sade Diahann Frazier, DO

  • Psychiatry Physician
  • Mountainside, NJ
National Provider Identifier
1184128126
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB11270900 Issued in NJ
Practice address
1044 US Highway 22 Ste 1
Mountainside, NJ 07092-2890
Phone
(908) 386-5517
Fax
(908) 504-8042
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 309576 NY
Forensic Psychiatry Physician 2084F0202X 309576 NY
Psychiatry Physician 2084P0800X 309576 NY
Child & Adolescent Psychiatry Physician 2084P0804X 25MB11270900 NJ
Psychiatry Physician 2084P0800X 25MB11270900 NJ Primary
Forensic Psychiatry Physician 2084F0202X 25MB11270900 NJ

Addresses

Primary practice location

1044 US Highway 22 Ste 1
Mountainside, NJ 07092-2890

Mailing address

PO Box 2357
Bloomfield, NJ 07003-9157

Other practice location 1

18-20 Lackawanna Plz Ste 200
Montclair, NJ 07042-3642
Phone (973) 447-8689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830001339 NJ Practitioner - Psychiatry 4486055803 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightmindsmd LLCGroup PAC ID 7810384807, 2 clinicians

Practice addresses (Care Compare)

1044 US Hwy 22
Suite 1
Mountainside, NJ 07092-2890
Phone (908) 386-5517

11 Commerce Dr
Lbby Floor
Cranford, NJ 07016-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jun 2, 2022 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince May 19, 2022 Accepting new patients
Brightmindsmd LLC Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
Dr Sade D Frazier Forensic Psychiatry CurrentSince Mar 20, 2022 Accepting new patients

Locations

11 Commerce Dr
Cranford, NJ 07016
Phone (908) 336-1187

1044 US Highway 22
Ste 1
Mountainside, NJ 07092
Phone (908) 386-5517

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1184128126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070039157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 US HIGHWAY 22 STE 1",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922890",
            "telephone_number": "908-386-5517",
            "fax_number": "908-504-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18-20 Lackawanna Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070423642",
            "country_code": "US",
            "telephone_number": "973-447-8689",
            "fax_number": "973-640-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "SADE",
        "middle_name": "DIAHANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "309576",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "309576",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "309576",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MB11270900",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB11270900",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "25MB11270900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

Verify at the official NPI Registry.