Individual provider Active NPI

Gary C. Jean, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Basking Ridge, NJ
National Provider Identifier
1306544473
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01463500 Issued in NJ
Practice address
233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338
Phone
(973) 304-5695
NPI assigned
Feb 20, 2023
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405456-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11024714 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01463500 NJ Primary

Addresses

Primary practice location

233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338

Mailing address

600 Station Dr Apt 625
Avenel, NJ 07001-1868
Phone (347) 824-5767

Other practice location 1

600 Station Dr Apt 625
Avenel, NJ 07001-1868
Phone (347) 824-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230801001032 NJ Practitioner - Nurse Practitioner 2466813985 Reassigns benefits to 3 organizations
I20240131001990 NY Practitioner - Nurse Practitioner 2466813985 Reassigns benefits to 4 organizations
I20250507001082 FL Practitioner - Nurse Practitioner 2466813985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Matters Psychiatry LLCGroup PAC ID 5294276390, 4 clinicians

Practice addresses (Care Compare)

233 Mount Airy Rd
Suite 100
Basking Ridge, NJ 07920-2338
Phone (973) 304-5695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F405456-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Dec 19, 2023 Accepting new patients
Comprehensive Behavioral Healthcare, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 19, 2023 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Shakespeare Operating LLC CurrentSince Dec 19, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 19, 2023 Accepting new patients
Forefront-Rosenzweig Behavioral Health Medical Services PC CurrentSince May 5, 2025 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 19, 2023 Accepting new patients
Access Telecare, PLLC CurrentSince Apr 30, 2025 Accepting new patients
Mind Matters Psychiatry, LLC CurrentSince Apr 1, 2025 Accepting new patients
Forefront Telecare Inc CurrentSince May 5, 2025 Accepting new patients

Locations

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

233 Mount Airy Rd
Ste 100
Basking Ridge, NJ 07920
Phone (908) 434-6008

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1306544473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STATION DR APT 625",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011868",
            "telephone_number": "347-824-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MOUNT AIRY RD STE 100",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202338",
            "telephone_number": "973-304-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Station Dr Apt 625",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "070011868",
            "country_code": "US",
            "telephone_number": "347-824-5767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN",
        "first_name": "GARY",
        "middle_name": "C.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405456-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11024714",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01463500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.