Organization Active NPI

Caring Embodied Minds Clinic LLC

  • Psychiatry Physician
  • Nanuet, NY
National Provider Identifier
1275352692
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CARING EMBODIED MINDS CLINIC LLC
Practice address
135 W Nyack Rd Apt 71
Nanuet, NY 10954-2947
Phone
(732) 900-8490
NPI assigned
Oct 3, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Jawad ManzoorNPI 1295354330
Title
Owner
Phone
(732) 900-8490

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

135 W Nyack Rd Apt 71
Nanuet, NY 10954-2947

Mailing address

135 W Nyack Rd Apt 71
Nanuet, NY 10954-2947
Phone (732) 900-8490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1275352692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W NYACK RD APT 71",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542947",
            "telephone_number": "732-900-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W NYACK RD APT 71",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542947",
            "telephone_number": "732-900-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING EMBODIED MINDS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MANZOOR",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-900-8490"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.