NPIMap

Organization Active NPI

Harmony Bay Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel Springs, NJ
National Provider Identifier
1124663059
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HARMONY BAY WELLNESS, LLC
Practice address
1387 Chews Landing Road
Laurel Springs, NJ 08021
Phone
(856) 454-3104
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Mrs. Crystal Joy Borgesi
Title
Executive Director
Phone
(856) 282-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1387 Chews Landing Road
Laurel Springs, NJ 08021

Mailing address

1042 Willow Creek Rd
Suite A101-520
Prescott, AZ 86301

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2186345Harmony Bay Wellness1387 Chews Landing Road, Laurel Springs, NJ 08021Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Locations

1042 Willow Creek Rd
Ste A101520
Prescott, AZ 86301

1387 Chews Landing Rd
Laurel Springs, NJ 08021
Phone (855) 760-2933

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1124663059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 WILLOW CREEK RD",
            "address_2": "SUITE A101-520",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING ROAD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-454-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY BAY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "BORGESI",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-282-1340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.