Mind Harbor Psychiatric Services LLC
NPI 1689493793 · Psychiatric/Mental Health Nurse Practitioner · Elizabeth, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Harbor Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Elizabeth, NJ (NPI 1689493793).
Provider details
- NPI number
- 1689493793
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jermaine Nnaeto, Ceo(484) 542-3768
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-03
Frequently asked questions
- What is Mind Harbor Psychiatric Services LLC's NPI number?
- Mind Harbor Psychiatric Services LLC's National Provider Identifier (NPI) is 1689493793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Harbor Psychiatric Services LLC?
- Mind Harbor Psychiatric Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mind Harbor Psychiatric Services LLC located?
- Mind Harbor Psychiatric Services LLC's practice location on file with NPPES is 162 Elmora Ave Ste 416, Elizabeth, NJ 07202-1148.
- What is Mind Harbor Psychiatric Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Harbor Psychiatric Services LLC is (484) 542-3768.
- Does Mind Harbor Psychiatric Services LLC accept Medicare?
- Mind Harbor Psychiatric Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mind Harbor Psychiatric Services LLC?
- The authorized official listed on Mind Harbor Psychiatric Services LLC's NPPES record is Jermaine Nnaeto, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Harbor Psychiatric Services LLC's NPI active?
- Yes — Mind Harbor Psychiatric Services LLC's NPI (1689493793) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.