Present Center for Mindfulness

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

B1-0000944 Issued in DE

Legal business name

PRESENT CENTER FOR MINDFULNESS

Practice address

2 Cub Lake Rd
Byram Township, NJ 07821-4050

Phone

(267) 254-2111

Fax

(302) 543-7780

NPI assigned

Mar 11, 2017

Organization subpart

No

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

Authorized official

Name

Lisa Tanner

Title

Credentialing Specialist

Phone

(302) 803-0119

Specialties & licenses 1

Addresses

Other names 1

• Present Center for Mindfulness and Healing Doing business as

Medicare fee-for-service enrollment

Enrolled in DE, NJ2 enrollments

Enrollment records 2

Practitioners 2

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

• Jennifer L Tedesco, PSYD

  • Clinical Psychologist
  • Byram Township, NJ
  • NPI 1992730022

  DE

  Medicare reassignment
• William B McCracken, LCSW,ICADC

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1003586710
  NPD

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1114468055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CUB LAKE RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078214050",
            "telephone_number": "267-254-2111",
            "fax_number": "302-543-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CUB LAKE RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078214050",
            "telephone_number": "267-254-2111",
            "fax_number": "302-543-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENT CENTER FOR MINDFULNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "302-803-0119"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Present Center for Mindfulness and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foresight Genetics
• Adriana Guido Rios
• Amy Hunter
• Phane M Mogaka
• Christine Mary Orr, MS, RD, CDCES
• Sarah Gregor, LCSW
• Jennifer L Tedesco, PSYD
• Tinash Homecare Services LLC
• Elaine Villano

• Clinical Psychologist in Byram Township, NJ
• Providers in Byram Township, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.