| Mind Results LLC | |
|
1415 Vermella Way Lyndhurst NJ 07071-1333 | |
| (551) 257-1746 | |
| (551) 257-1746 |
| Full Name | Mind Results LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1415 Vermella Way, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Solande Destin (PRACTICE MANAGER) |
| Authorized Official Contact | 5512571746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Results LLC 1415 Vermella Way Lyndhurst NJ 07071-1333 Ph: (551) 257-1746 | Mind Results LLC 1415 Vermella Way Lyndhurst NJ 07071-1333 Ph: (551) 257-1746 |
| NPI Number | 1215884077 |
|---|---|
| Provider Enumeration Date | 03/11/2026 |
| Last Update Date | 03/11/2026 |
| Certification Date | 03/11/2026 |
| Medicare PECOS PAC ID | 7719458777 |
|---|---|
| Medicare Enrollment ID | O20260610001543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215884077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Solande Destin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942021324 PECOS PAC ID: 3971013921 Enrollment ID: I20250609002037 |
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