Provider Demographics
NPI:1457093908
Name:MIND WELLNESS PSYCHIATRY
Entity Type:Organization
Organization Name:MIND WELLNESS PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:POST MASTERS DEGREE
Authorized Official - Phone:640-204-0328
Mailing Address - Street 1:329 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2959
Mailing Address - Country:US
Mailing Address - Phone:640-204-0328
Mailing Address - Fax:
Practice Address - Street 1:329 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08512-2959
Practice Address - Country:US
Practice Address - Phone:640-204-0328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health