Active NPI
A Healthy Mind
- Adult Mental Health Clinic/Center
- Maplewood, NJ
National Provider Identifier
1932584547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 25MA08739900
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.