Empower Healthy Mind

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMPOWER HEALTHY MIND

Practice address

30 Montgomery St Ste 1200
Jersey City, NJ 07302-3829

Phone

(862) 801-2142

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Shandel Douglas

Title

Owner

Phone

(862) 801-2142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1851215891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MONTGOMERY ST STE 1200",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023829",
            "telephone_number": "862-801-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MONTGOMERY ST STE 1200",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023829",
            "telephone_number": "862-801-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER HEALTHY MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SHANDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-801-2142"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, 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 Aug 4, 2026; 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.