Organization Active NPI

A Healthy Mind

  • Adult Mental Health Clinic/Center
  • Maplewood, NJ
National Provider Identifier
1932584547
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
25MA08739900 Issued in NJ
Legal business name
A HEALTHY MIND
Practice address
2130 Millburn Ave
Maplewood, NJ 07040-3725
Phone
(973) 524-0591
NPI assigned
Jul 24, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Dr. Tobechukwu Clouden, MD
Title
Psychiatrist
Phone
(973) 524-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 25MA08739900 NJ Primary

Addresses

Primary practice location

2130 Millburn Ave
Maplewood, NJ 07040-3725

Mailing address

852 Valley St
Vauxhall, NJ 07088-1204
Phone (973) 524-0591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1932584547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 VALLEY ST",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881204",
            "telephone_number": "973-524-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403725",
            "telephone_number": "973-524-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALTHY MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "CLOUDEN",
        "authorized_official_first_name": "TOBECHUKWU",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "973-524-0591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "25MA08739900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.