Healthcare Provider Details

I. General information

NPI: 1407704976
Provider Name (Legal Business Name): ALLMINDS MEDICAL SERVICES EAST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 PLAZA 5 25TH FLOOR
JERSEY CITY NJ
07311
US

IV. Provider business mailing address

2261 MARKET ST STE 83931
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 415-513-4350
  • Fax:
Mailing address:
  • Phone: 415-513-4350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MISS SHREE SHAH
Title or Position: OPERATIONS ADMINISTRATOR
Credential:
Phone: 415-513-4350