Active NPI
Inner Peace Therapy and Wellness
- Clinical Social Worker
- New Brunswick, NJ
National Provider Identifier
1013670637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INNER PEACE THERAPY AND WELLNESS
- Practice address
- 317 George St FL 3
New Brunswick, NJ 08901-2008 - Phone
- (732) 825-7729
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Sheldon, LCSW
- Title
- Owner
- Phone
- (201) 367-8915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
317 George St FL 3
New Brunswick, NJ 08901-2008
Mailing address
27 S 5TH Ave
Highland Park, NJ 08904-2604
Phone (201) 367-8915
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1013670637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 S 5TH AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042604",
"telephone_number": "201-367-8915",
"fax_number": "732-377-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 GEORGE ST FL 3",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012008",
"telephone_number": "732-825-7729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER PEACE THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-367-8915",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.