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NPI Code Detail

MEDICARE: HEALTHY MINDS CENTER FOR ANXIETY, MOOD, AND ADHD LLC

MEDICARE: HEALTHY MINDS CENTER FOR ANXIETY, MOOD, AND ADHD 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0855XAdolescent and Children Mental Health Clinic/Center
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1356200703
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY MINDS CENTER FOR ANXIETY, MOOD, AND ADHD LLC
Provider Business Mailing Address
First Line : PO BOX 3069
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07043-3069
Country : US
Telephone Number : 551-238-4307
Fax Number :
Provider Business Practice Location Address
First Line : 1285 BROAD ST STE 2
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3045
Country : US
Telephone Number : 551-238-4307
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. NANDA MUTHUSAWMY
Credential : MD
Telephone Number : 551-238-4307
Provider Enumeration Date : 01/21/2026
Last Update Date : 04/07/2026

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