Mystepro

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MYSTEPRO

Practice address

75 Harrison Ave
Jersey City, NJ 07304-2555

Phone

(201) 451-5425

Fax

(201) 502-8250

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Simone Cyise Patterson, LPC LCADCNPI 1427697903

Title

Director of Mystepro

Phone

(201) 780-6142

Specialties & licenses 4

Addresses

Other names 1

• Mystepro Other name

Practitioners 1

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

• Simone Cyise Patterson, LPC, LCADC

  • Mental Health Counselor
  • Jersey City, NJ
  • NPI 1427697903
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1447033907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EDGERTON TER",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070173302",
            "telephone_number": "201-780-6142",
            "fax_number": "201-502-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HARRISON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042555",
            "telephone_number": "201-451-5425",
            "fax_number": "201-502-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTEPRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "CYISE",
        "authorized_official_title_or_position": "DIRECTOR OF MYSTEPRO",
        "authorized_official_telephone_number": "201-780-6142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mystepro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taonei I Mushayandebvu, M.D.
• Erblina Mustafai
• Vartika Mutha, PSYD
• Trissana Myers
• Myoaxis Performance & Recovery LLC
• Nisha Nadkar
• Nadzieja/ Hope Psychological Services LLC
• Sheena Nagahama, RN, APN,ACNP-BC
• David Nageh, DO
• Malgorzata Nagorna, MD

• Adolescent and Children Mental Health Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.