Organization Active NPI

Mindwell Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
National Provider Identifier
1366324071
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDWELL BEHAVIORAL HEALTH
Practice address
1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111
Phone
(609) 237-7100
Fax
(609) 616-7904
NPI assigned
Jul 23, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Armen Grigoryan
Title
Ceo
Phone
(609) 237-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111

Mailing address

1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111
Phone (609) 237-7100

Other practice location 1

6650 Browning Rd Rm U14
Pennsauken, NJ 08109-1479
Phone (956) 831-7000

National Provider Directory

National Provider Directory
Tax ID family
Mindwell Behavioral Health2 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1366324071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 29",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-237-7100",
            "fax_number": "609-616-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 29",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-237-7100",
            "fax_number": "609-616-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6650 Browning Rd Rm U14",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081091479",
            "country_code": "US",
            "telephone_number": "956-831-7000",
            "fax_number": "856-831-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDWELL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-237-7100"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.