Individual provider Active NPI

Solande Destin, PMHN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1942021324
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15114800 Issued in NJ
Practice address
10 Shepard Ter Apt 2
West Orange, NJ 07052-5778
Phone
(201) 259-4781
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 26NJ15114800 NJ Primary

Addresses

Primary practice location

10 Shepard Ter Apt 2
West Orange, NJ 07052-5778

Mailing address

10 Shepard Ter Apt 2
West Orange, NJ 07052-5778
Phone (201) 259-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609002037 NJ Practitioner - Nurse Practitioner 3971013921 Reassigns benefits to 3 organizations
Practice locations: West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gold Standard Medical Group PCGroup PAC ID 2961762554, 32 clinicians

Practice addresses (Care Compare)

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15114800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Standard Medical Group PC Single Specialty CurrentSince Jul 6, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Single Specialty CurrentSince May 15, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1136 Clifton Ave
#2
Clifton, NJ 07013
Phone (862) 249-1266

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1942021324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHEPARD TER APT 2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525778",
            "telephone_number": "201-259-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHEPARD TER APT 2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525778",
            "telephone_number": "201-259-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTIN",
        "first_name": "SOLANDE",
        "name_prefix": "Ms.",
        "credential": "PMHN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15114800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.