MEDICARE: MIND MECHANIC NJ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1013869262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND MECHANIC NJ LLC

Provider Business Mailing Address
First Line	:	1009 LENOX DR STE 101
Second Line	:
City	:	LAWRENCE TOWNSHIP
State	:	NJ
Zip	:	08648-2321
Country	:	US
Telephone Number	:	606-349-1447
Fax Number	:	267-609-7858

Provider Business Practice Location Address
First Line	:	1009 LENOX DR STE 101
Second Line	:
City	:	LAWRENCE TOWNSHIP
State	:	NJ
Zip	:	08648-2321
Country	:	US
Telephone Number	:	606-349-1447
Fax Number	:	267-609-7858

Authorized Official
Title or Position	:	FOUNDER & CLINICAL DIRECTOR
Name	:	CHIBUIKE KINGSLEY ENYINNIA
Credential	:	APN
Telephone Number	:	609-349-1447

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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