Active NPI
Renew Your Mind
- Clinical Social Worker
- Mays Landing, NJ
National Provider Identifier
1629927405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RENEW YOUR MIND
- Practice address
- 6360 Maryland Ave
Mays Landing, NJ 08330-1047 - Phone
- (609) 507-5443
- NPI assigned
- Jan 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerome Grant
- Title
- Owner/Primary Therapist
- Phone
- (609) 507-5443
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6360 Maryland Ave
Mays Landing, NJ 08330-1047
Mailing address
6360 Maryland Ave
Mays Landing, NJ 08330-1047
Phone (609) 507-5443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC06586800 | Other | NJ | NJDIVISIONOFCONSUMERAFFAIRS |
National Provider Directory
National Provider Directory- Tax ID family
- Renew Your Mind
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Mays Landing, NJ
- NPI 1902760028
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Mays Landing, NJ
- NPI 1154100329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1629927405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 MARYLAND AVE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083301047",
"telephone_number": "609-507-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 MARYLAND AVE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083301047",
"telephone_number": "609-507-5443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW YOUR MIND",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "JEROME",
"authorized_official_title_or_position": "OWNER/PRIMARY THERAPIST",
"authorized_official_telephone_number": "609-507-5443"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJDIVISIONOFCONSUMERAFFAIRS",
"identifier": "44SC06586800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mays Landing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.