Mindspire

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSPIRE

Practice address

6 Cottonwood CT
Edison, NJ 08820-1252

Phone

(732) 200-2421

Fax

(704) 839-2454

NPI assigned

Jan 6, 2025

Last updated

Jun 29, 2025By 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

Mrs. Julie Jacob, APNNPI 1497292445

Title

Pmhnp-BC

Phone

(732) 200-2421

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Julie Jacob, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Florham Park, NJ
  • NPI 1497292445

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751155200000",
    "number": "1578372272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COTTONWOOD CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201252",
            "telephone_number": "732-200-2421",
            "fax_number": "704-839-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COTTONWOOD CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201252",
            "telephone_number": "732-200-2421",
            "fax_number": "704-839-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "732-200-2421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "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": [],
    "other_names": []
}

• Richard Joseph Mills, MD
• Charlene E. Milne, M.D.
• Lewis Martin Milrod, M.D.
• Scott Minchello, MS, LPC
• Mindbridge Health
• Sue Xue Ming, MD
• Michelle A Mint-Sorensen, P.A.
• Mintex Care Corporation
• Muhammad Mirani, PT
• Kanesha Mireko

• Psychiatric/Mental Health Nurse Practitioner in Edison, NJ
• Providers in Edison, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; 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.