Mending Our Minds, Inc

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

26NC06850500 Issued in NJ

Legal business name

MENDING OUR MINDS, INC

Practice address

50 Church St
Ste 101
Montclair, NJ 07042-2772

Phone

(973) 744-1192

Fax

(973) 676-5801

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Saundra Austin-Benn, APN

Title

Owner

Phone

(973) 744-1192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherree Lynn Pecci, MSW,LSW

  • Social Worker
  • East Orange, NJ
  • NPI 1376813493
  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1376983056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHURCH ST",
            "address_2": "STE 101",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422772",
            "telephone_number": "973-744-1192",
            "fax_number": "973-676-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHURCH ST",
            "address_2": "STE 101",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422772",
            "telephone_number": "973-744-1192",
            "fax_number": "973-676-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING OUR MINDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-BENN",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-744-1192",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC06850500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Melendez, LCSW
• Edziel Zepeda Menchavez, RN
• Lani Mendelson, M.D.
• John F Mendes, M.D.
• Robertha Mendez, MD
• Mending Wings to Soar
• Serena Menefee
• Mental Health Assn of Essex and Morris
• Mental Health Association of Essex and Morris
• Mental Health Association of Essex and Morris

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.