Emerald Psych LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMERALD PSYCH LLC

Practice address

155 Willowbrook Blvd Ste 110-6576
Wayne, NJ 07470-7032

Phone

(973) 878-1062

NPI assigned

Jun 2, 2025

Last updated

Sep 9, 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

Helder MendesNPI 1083130769

Title

Nurse Practitioner

Phone

(201) 256-1367

Specialties & licenses 1

Addresses

Locations

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.

• Helder Tiago Mendes, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wayne, NJ
  • NPI 1083130769
  NPD Authorized official

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1811880388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK BLVD STE 1106576",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707032",
            "telephone_number": "201-256-1367",
            "fax_number": "844-998-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK BLVD STE 110-6576",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707032",
            "telephone_number": "973-878-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "HELDER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "201-256-1367"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Wayne, NJ
• Providers in Wayne, 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 Sep 9, 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.