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NPI Code Detail

MEDICARE: MINDSET PSYCHIATRY

MEDICARE: MINDSET PSYCHIATRY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1780547117
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDSET PSYCHIATRY
Provider Business Mailing Address
First Line : 155 ROUTE 22 STE 2
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-3109
Country : US
Telephone Number : 609-892-1358
Fax Number :
Provider Business Practice Location Address
First Line : 155 ROUTE 22 SUITE 2
Second Line : #1040
City : SPRINGFIELD
State : NJ
Zip : 07081
Country : US
Telephone Number : 609-892-1358
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ADEMOLA OGUNRUKU
Credential : PMHNP
Telephone Number : 609-892-1358
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/08/2025

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Directions to “MINDSET PSYCHIATRY ” Practice Location

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