Organization Active NPI

Mind and Harmony Mental Health & Wellness LLC

  • Adult Mental Health Clinic/Center
  • King of Prussia, PA
National Provider Identifier
1841068541
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MIND AND HARMONY MENTAL HEALTH & WELLNESS LLC
Practice address
630 Freedom Business Ctr Dr Ste 300-3756
King of Prussia, PA 19406-1331
Phone
(484) 559-7659
Fax
(484) 551-3168
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Carolina Egbe Njikam, PMHNP-BCNPI 1306574819
Title
Owner
Phone
(336) 327-8166

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

630 Freedom Business Ctr Dr Ste 300-3756
King of Prussia, PA 19406-1331

Mailing address

630 Freedom Business Ctr Dr Ste 300-3756
King of Prussia, PA 19406-1331
Phone (484) 559-7659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240807004035 PA Part B Supplier - Clinic/Group Practice 9638616675 Receives reassigned benefits from 1 practitioner
Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory

Locations

630 Freedom Business Ctr Dr
Ste 3003756
King of Prussia, PA 19406
Phone (267) 471-6240

70 Buckwalter Rd
Ste 900
Royersford, PA 19468

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": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1841068541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR STE 300-3756",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "484-559-7659",
            "fax_number": "484-551-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR STE 300-3756",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "484-559-7659",
            "fax_number": "484-551-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND HARMONY MENTAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "EGBE NJIKAM",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-327-8166",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.