Organization Active NPI

Wyndmoor Mind & Wellness

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1124931514
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WYNDMOOR MIND & WELLNESS
Practice address
26 Cooper Run Dr
Cherry Hill, NJ 08003-2207
Phone
(610) 505-0632
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Jason M Emge, M.ED, MSW, LCSW
Title
Therapist
Phone
(610) 505-0632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

26 Cooper Run Dr
Cherry Hill, NJ 08003-2207

Mailing address

26 Cooper Run Dr
Cherry Hill, NJ 08003-2207
Phone (610) 505-0632

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1124931514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COOPER RUN DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032207",
            "telephone_number": "610-505-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COOPER RUN DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032207",
            "telephone_number": "610-505-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDMOOR MIND & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "EMGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "610-505-0632",
        "authorized_official_credential": "M.ED, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.