Organization Active NPI

Newmind Psychology Services LLC

  • Clinical Social Worker
  • Ventnor City, NJ
National Provider Identifier
1295124477
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05508700 Issued in NJ
Legal business name
NEWMIND PSYCHOLOGY SERVICES LLC
Practice address
6601 Ventnor Ave, Ste 16 B
Ventnor City, NJ 08406-0840
Phone
(269) 876-9694
NPI assigned
Jan 12, 2015
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Ana Isabel Placencia-Block, LCSWNPI 1871848556
Title
Owner
Phone
(269) 876-9694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05508700 NJ Primary

Addresses

Primary practice location

6601 Ventnor Ave, Ste 16 B
Ventnor City, NJ 08406-0840

Mailing address

505 Hamilton Ave
Suite 102
Linwood, NJ 08221-1057
Phone (269) 876-9694

National Provider Directory

National Provider Directory

Locations

505 Hamilton Ave
Ste 102
Linwood, NJ 08221
Phone (609) 788-3004

6601 Ventnor Ave
Ste 16B
Ventnor City, NJ 08406
Phone (269) 876-9694

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1295124477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HAMILTON AVE",
            "address_2": "SUITE 102",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211057",
            "telephone_number": "269-876-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE, STE 16 B",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084060840",
            "telephone_number": "269-876-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMIND PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "PLACENCIA-BLOCK",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-876-9694",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05508700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.