Organization Active NPI

Beyond the Mind LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Perth Amboy, NJ
National Provider Identifier
1376471987
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BEYOND THE MIND LLC
Practice address
686 Donald Ave
Perth Amboy, NJ 08861-2529
Phone
(201) 410-1644
NPI assigned
May 12, 2026
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Janessa Marie Baquerizo, PMHNP-BS, PMH-BC
Title
Founder and Owner
Phone
(201) 410-1644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

686 Donald Ave
Perth Amboy, NJ 08861-2529

Mailing address

10 Green St Unit 4126
Woodbridge, NJ 07095-3301
Phone (201) 410-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260618003597 NJ Part B Supplier - Clinic/Group Practice 6103398235 Receives reassigned benefits from 1 practitioner
Practice locations: Perth Amboy, NJ

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": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1376471987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREEN ST UNIT 4126",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953301",
            "telephone_number": "201-410-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 DONALD AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612529",
            "telephone_number": "201-410-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "BAQUERIZO",
        "authorized_official_first_name": "JANESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "201-410-1644",
        "authorized_official_credential": "PMHNP-BS, PMH-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.