Provider Demographics
NPI:1356103022
Name:MINDFRAME, LLC
Entity type:Organization
Organization Name:MINDFRAME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCALISTER
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:201-472-3694
Mailing Address - Street 1:155 WILLOWBROOK BLVD
Mailing Address - Street 2:SUITE 110 #4273
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7033
Mailing Address - Country:US
Mailing Address - Phone:201-472-3694
Mailing Address - Fax:346-463-7124
Practice Address - Street 1:155 WILLOWBROOK BLVD # 4273
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7032
Practice Address - Country:US
Practice Address - Phone:201-472-3694
Practice Address - Fax:346-463-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)