Mindful Self Care Therapy, LLC
NPI 1205594108ActiveOrganization· Psychologist· West Orange, NJ
Psychologist in West Orange, New Jersey, registered in NPPES in December 2021. The authorized official on file is Debra S. Gill, PHD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205594108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2021 |
| Last updated in NPPES | Dec 8, 2021 |
| Certified by provider | Dec 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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