Active NPI
Phynai Therapy Group
- Marriage & Family Therapist
- Mantua, NJ
National Provider Identifier
1215742200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- PHYNAI THERAPY GROUP
- Practice address
- 1107 Mantua Pike Ste 720
#102
Mantua, NJ 08051 - Phone
- (215) 435-8392
- NPI assigned
- Feb 8, 2025
- Last updated
- Sep 11, 2025
- 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
- Mr. Wade Garrett Greenwald, LPC, MBA
- Title
- Owner, Therapist
- Phone
- (215) 435-8392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
1107 Mantua Pike Ste 720
#102
Mantua, NJ 08051
Mailing address
1107 Mantua Pike Ste 720
Box 102
Mantua, NJ 08051
National Provider Directory
National Provider DirectoryLocations
1107 Mantua Pike
Ste 720
Mantua, NJ 08051
Phone (215) 435-8392
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Mantua, NJ
- NPI 1952116949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1215742200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 MANTUA PIKE STE 720",
"address_2": "BOX 102",
"city": "MANTUA",
"state": "NJ",
"postal_code": "08051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 MANTUA PIKE STE 720",
"address_2": "#102",
"city": "MANTUA",
"state": "NJ",
"postal_code": "08051",
"telephone_number": "215-435-8392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYNAI THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-08",
"last_updated": "2025-09-11",
"certification_date": "2025-02-08",
"status": "A",
"authorized_official_last_name": "GREENWALD",
"authorized_official_first_name": "WADE",
"authorized_official_middle_name": "GARRETT",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "215-435-8392",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC, MBA"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mantua, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.