Organization Active NPI

Healthy Mind Healthy You LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1568058063
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALTHY MIND HEALTHY YOU LLC
Practice address
193 US Highway 9
Manalapan, NJ 07726-3015
Phone
(732) 567-2205
Fax
(732) 605-5823
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Paula TaylorNPI 1265086821
Title
Owner
Phone
(732) 567-2205

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

193 US Highway 9
Manalapan, NJ 07726-3015

Mailing address

41 Silvers Rd
Freehold, NJ 07728-7740
Phone (732) 567-2205

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ptaylor4np@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106000998 NJ Part B Supplier - Clinic/Group Practice 0345631065 Receives reassigned benefits from 1 practitioner
Practice locations: Marlboro, NJ; Union City, NJ

National Provider Directory

National Provider Directory

Locations

193 US Highway 9
Manalapan, NJ 07726
Phone (732) 567-2205

479 County Road 520
Ste 219
Marlboro, NJ 07746
Phone (848) 344-4852

582-584 32nd St
Union City, NJ 07087
Phone (848) 344-4852

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1568058063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SILVERS RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287740",
            "telephone_number": "732-567-2205",
            "fax_number": "732-605-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 US HIGHWAY 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263015",
            "telephone_number": "732-567-2205",
            "fax_number": "732-605-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MIND HEALTHY YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-567-2205"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ptaylor4np@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "193 US Highway 9",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077263015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.