Organization Active NPI

Resilient Mind

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guttenberg, NJ
National Provider Identifier
1740958636
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESILIENT MIND
Practice address
202 68TH St Apt 21
Guttenberg, NJ 07093-3254
Phone
(201) 993-5745
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Yamile Manotas, M.ED., LPCNPI 1215420344
Title
Founder
Phone
(201) 993-5745

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

202 68TH St Apt 21
Guttenberg, NJ 07093-3254

Mailing address

PO Box 759
Belleville, NJ 07109-0759
Phone (201) 993-5745

National Provider Directory

National Provider Directory

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": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1740958636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090759",
            "telephone_number": "201-993-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 68TH ST APT 21",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070933254",
            "telephone_number": "201-993-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "MANOTAS",
        "authorized_official_first_name": "YAMILE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "201-993-5745",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.