Mindtech Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDTECH BEHAVIORAL HEALTH LLC

Practice address

1418 New Rd Ste 1B
Northfield, NJ 08225-1179

Phone

(609) 796-7895

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Athanasios G. Papastamelos, MD

Title

Medical Director

Phone

(609) 432-1465

Specialties & licenses 4

Addresses

Other names 1

• PHREND BEHAVIORAL HEALTH OF NEW JERSEY Former legal business name

Locations

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1942032024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 NEW RD STE 1B",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251179",
            "telephone_number": "609-796-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 NEW RD STE 1B",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251179",
            "telephone_number": "609-796-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDTECH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "PAPASTAMELOS",
        "authorized_official_first_name": "ATHANASIOS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-432-1465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHREND BEHAVIORAL HEALTH OF NEW JERSEY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mid-Atlantic Rehabilitation Associates P a
• Christine A Miller, LCSW
• Luann A Miller, LPC
• John Joseph Millili III, DO
• Dacole Mincey
• Jeisy Mitre, LCSW
• Jason Mittleman, DC
• Marcus Kane Molyneux
• Amanda Marie Montecalvo, PT, DPT
• Amanda D. Moran, MS, OTR/L

• Psychiatry Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.