Healthcare Provider Details

I. General information

NPI: 1548046881
Provider Name (Legal Business Name): HEALTHY MINDS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 09/04/2023
Certification Date: 09/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 HIGHTSTOWN RD STE 1C
PRINCETON JUNCTION NJ
08550-1120
US

IV. Provider business mailing address

14 BEAVERDAM DR
EAST BRUNSWICK NJ
08816-2456
US

V. Phone/Fax

Practice location:
  • Phone: 201-674-7813
  • Fax:
Mailing address:
  • Phone: 201-674-7813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIAM HANNAH BEKHIT
Title or Position: OWNER, MEDICAL DIRECTOR
Credential: MD
Phone: 201-674-7813