Innovative Mind Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE MIND SERVICES, LLC

Practice address

63 High Meadows Dr
Sicklerville, NJ 08081-1981

Phone

(862) 300-9408

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Adebukola Rebecca Adebayo

Title

Ceo

Phone

(862) 300-9408

Specialties & licenses 2

Addresses

Tax ID family

Innovative Mind Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innovative Mind Services

  • Respite Care
  • Irvington, NJ
  • NPI 1336876341
  NPD tax ID

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1184596702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HIGH MEADOWS DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811981",
            "telephone_number": "862-300-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HIGH MEADOWS DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811981",
            "telephone_number": "862-300-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MIND SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "ADEBUKOLA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-300-9408"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquana Howard
• Amanda L Hughes, PA
• Alexis Hutchinson
• Umara Naaz Iftikhar, OTR/L
• Sara Ikhlaq, PHARM.D
• Inspiring Synapses
• Interventions Now, PC
• Julia Ndidi Ismail, LAC/LPC
• J and W Horizon Care
• J&T Behavioral Health and Counseling Services LLC

• Community/Behavioral Health Agency in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.