Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Harbor Psychiatric Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1689493793

Mind Harbor Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Elizabeth, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

162 Elmora Ave Ste 416
Elizabeth, NJ 07202-1148
Phone: (484) 542-3768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1689493793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jermaine Nnaeto — Ceo · (484) 542-3768
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 3, 2024
Mailing address162 Elmora Ave Ste 416, Elizabeth, NJ 07202-1148

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