Organization Active NPI

Mindful Approach LLC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1851130462
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL APPROACH LLC.
Doing business as
Mindful Approach LLC.
Practice address
101 Hudson St Ste 2131
Jersey City, NJ 07302-3915
Phone
(201) 981-4725
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Pamela Garcia-Roman, PMHNPNPI 1710741046
Title
Owner
Phone
(201) 981-4725

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

101 Hudson St Ste 2131
Jersey City, NJ 07302-3915

Mailing address

627 Broad St
Clifton, NJ 07013-1649
Phone (201) 981-4725

Other names 1

  • Mindful Approach LLC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207002262 NJ Part B Supplier - Clinic/Group Practice 8921547464 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

101 Hudson St
Ste 2131
Jersey City, NJ 07302
Phone (201) 981-4725

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1851130462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131649",
            "telephone_number": "201-981-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HUDSON ST STE 2131",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023915",
            "telephone_number": "201-981-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL APPROACH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-981-4725",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Approach LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.