Mental Flex LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MENTAL FLEX LLC

Practice address

154 Crescent Ave
Woodbridge, NJ 07095-3608

Phone

(732) 860-8732

NPI assigned

Dec 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristen Deeken, APNNPI 1215508346

Title

Co-Owner

Phone

(732) 492-8976

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Elizabeth Deeken, MSN RN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bayville, NJ
  • NPI 1215508346
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1013784446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CRESCENT AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953608",
            "telephone_number": "732-860-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CRESCENT AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953608",
            "telephone_number": "732-860-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL FLEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DEEKEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-492-8976",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275272486",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Mazzeo III, D.C.
• Krista McCabe
• Antoinette McDale
• Jacqueline P McLean, PT
• Krista Gail Memoly, PT, DPT
• Katharina Metrokotsas, PT, DPT
• Metrowell Solutions LLC
• Magdalena Michalski-Paff, OD
• Harriet Mills-Tagoe, APN
• Roshni Misra, LCSW

• Adult Mental Health Clinic/Center in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.