Individual provider Active NPI

Nanda Muthusawmy, MD

  • Child & Adolescent Psychiatry Physician
  • Montclair, NJ
National Provider Identifier
1699022558
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA10026700 Issued in NJ
Practice address
18-20 Lackawanna PLZ
Montclair, NJ 07042-3642
Phone
(551) 238-4307
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA10026700 NJ Primary

Addresses

Primary practice location

18-20 Lackawanna PLZ
Montclair, NJ 07042-3642

Mailing address

PO Box 3069
Montclair, NJ 07043-3069
Phone (551) 238-4397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Center for Anxiety, Mood, and ADHD LLC CurrentSince Nov 24, 2025 Accepting new patients
ADHD Center of Northern New Jersey, LLC Child & Adolescent Psychiatry PastSince Jan 21, 2022 Accepting new patients
Hackensack Psychiatric Group LLC PastSince Jul 10, 2017 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1699022558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3069",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070433069",
            "telephone_number": "551-238-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "551-238-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUSAWMY",
        "first_name": "NANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA10026700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.