Provider Demographics
NPI:1255204970
Name:SAEID, MINA
Entity type:Individual
Prefix:
First Name:MINA
Middle Name:
Last Name:SAEID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 E 31ST ST # 1
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4706
Mailing Address - Country:US
Mailing Address - Phone:201-844-5985
Mailing Address - Fax:201-844-5985
Practice Address - Street 1:47 E 31ST ST # 1
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4706
Practice Address - Country:US
Practice Address - Phone:201-844-5985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJG09565557312881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health