Organization Active NPI

Lumamind Behavioral Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hasbrouck Heights, NJ
National Provider Identifier
1386596286
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUMAMIND BEHAVIORAL CENTER LLC
Practice address
411 State Route 17
Suite 500
Hasbrouck Heights, NJ 07604
Phone
(646) 201-6645
Fax
(646) 201-6645
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Gbemisola Ore-Ofe, PMHNPNPI 1336003094
Title
Ceo
Phone
(646) 201-6645

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

411 State Route 17
Suite 500
Hasbrouck Heights, NJ 07604

Mailing address

186 Paterson Ave Ste 201
East Rutherford, NJ 07073-1837
Phone (646) 201-6645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260521003197 PA Part B Supplier - Clinic/Group Practice 0244700060 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20260625002949 NJ Part B Supplier - Clinic/Group Practice 0244700060 Receives reassigned benefits from 1 practitioner
Practice locations: Hasbrouck Heights, NJ

National Provider Directory

National Provider Directory

Locations

186 Paterson Ave
Ste 201
East Rutherford, NJ 07073

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1386596286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PATERSON AVE STE 201",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731837",
            "telephone_number": "646-201-6645",
            "fax_number": "646-201-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STATE ROUTE 17",
            "address_2": "SUITE 500",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "07604",
            "telephone_number": "646-201-6645",
            "fax_number": "646-201-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMAMIND BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "ORE-OFE",
        "authorized_official_first_name": "GBEMISOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-201-6645",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.