Mindset Behavioral Services LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

MINDSET BEHAVIORAL SERVICES LLC

Practice address

445 Marshall St Ste 149
Phillipsburg, NJ 08865-2695

Phone

(732) 648-4282

NPI assigned

Nov 14, 2022

Last updated

Jan 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Amponash, NURSE PRACTIONER

Title

Pmhnp-BC

Phone

(732) 648-4282

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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.

• Theresa Aryee Baffour, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lyons, NJ
  • NPI 1609528223
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1407564974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST STE 149",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "732-648-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST STE 149",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "732-648-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "AMPONASH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "732-648-4282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "csv",
            "affiliation": "N",
            "endpointDescription": "csv",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Princeton Rd",
            "city": "Linden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070365907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "csv",
            "affiliation": "N",
            "endpointDescription": "csv",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "445 Marshall St Ste 149",
            "city": "Phillipsburg",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088652695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isidore Mihalakis, M.D.
• Christine Miller, LSW
• Kayla R Miller, BCBA
• George Mina, DPM
• Mindlight LLC
• Madison Grace Mitzak, BS
• Cynthia M Mlodzienski, CDR
• Lindsey Moberg
• Albert Mobilio
• Vipul Mody, M.D.

• Psychiatric/Mental Health Clinical Nurse Specialist in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• 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 Jan 11, 2024; 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.