Active NPI
Kpi Wellness
- Psychologist
- Florham Park, NJ
National Provider Identifier
1407697279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KPI WELLNESS
- Practice address
- 123 Columbia Tpke Ste 201a
Florham Park, NJ 07932-2192 - Phone
- (862) 485-0328
- NPI assigned
- Jun 4, 2024
- 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
- Leigh Kolodny, LPC, LCADC
- Title
- Owner
- Phone
- (862) 485-0328
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
123 Columbia Tpke Ste 201a
Florham Park, NJ 07932-2192
Mailing address
123 Columbia Tpke Ste 201a
Florham Park, NJ 07932-2192
Phone (862) 485-0328
Other names 1
- KPI Wellness
National Provider Directory
National Provider DirectoryLocations
123 Columbia Tpke
Ste 201A
Florham Park, NJ 07932
Phone (862) 485-0328
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Florham Park, NJ
- NPI 1508198326
-
- Social Worker
- Florham Park, NJ
- NPI 1124511449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1407697279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 COLUMBIA TPKE STE 201A",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322192",
"telephone_number": "862-485-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 COLUMBIA TPKE STE 201A",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322192",
"telephone_number": "862-485-0328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KPI WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "KOLODNY",
"authorized_official_first_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "862-485-0328",
"authorized_official_credential": "LPC, LCADC"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KPI Wellness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.