Organization Active NPI

Clear Mind Psychiatric Associates PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bayville, NJ
National Provider Identifier
1679449839
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLEAR MIND PSYCHIATRIC ASSOCIATES PC
Practice address
245 Bayville Ave
Bayville, NJ 08721-1050
Phone
(469) 530-4932
Fax
(856) 283-2821
NPI assigned
Oct 15, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Adebayo ArowoloNPI 1508405382
Title
Owner
Phone
(469) 530-4932

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

245 Bayville Ave
Bayville, NJ 08721-1050

Mailing address

245 Bayville Ave
Bayville, NJ 08721-1050
Phone (469) 530-4932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118003529 NJ Part B Supplier - Clinic/Group Practice 3577054402 Receives reassigned benefits from 6 practitioners
Practice locations: Bayville, NJ; Green Brook, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1679449839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BAYVILLE AVE",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211050",
            "telephone_number": "469-530-4932",
            "fax_number": "856-283-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BAYVILLE AVE",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211050",
            "telephone_number": "469-530-4932",
            "fax_number": "856-283-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "AROWOLO",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-530-4932"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayville, NJ

Sources for this page

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