Organization Active NPI

Kwenyan and Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
National Provider Identifier
1457878423
Registry record updated Jul 21, 2022
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
KWENYAN AND ASSOCIATES
Practice address
2000 Spruce St
Ewing, NJ 08638-4625
Phone
(609) 583-4777
Fax
(866) 376-8262
NPI assigned
Aug 29, 2017
Organization subpart
Yes
Parent organization
KWENYAN PROFESSIONAL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Daniel Cassell, PH.D., MPH
Title
President/Ceo: Administrator
Phone
(609) 284-5822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 100800304 NJ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2000 Spruce St
Ewing, NJ 08638-4625

Mailing address

2000 Spruce St
Ewing, NJ 08638-4625
Phone (609) 583-4777

Other identifiers 1

IdentifierTypeStateIssuer
100800304OtherNJINTENSIVE/OUTPATIENT MENTAL HEALTH SERVICES LICENSE

National Provider Directory

National Provider Directory
Part of
Kwenyan Professional Health Services LLC

Locations

2000 Spruce St
Trenton, NJ 08638
Phone (609) 583-4777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457878423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRUCE ST",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086384625",
            "telephone_number": "609-583-4777",
            "fax_number": "866-376-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SPRUCE ST",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086384625",
            "telephone_number": "609-583-4777",
            "fax_number": "866-376-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWENYAN AND ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KWENYAN PROFESSIONAL HEALTH SERVICES, LLC",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO: ADMINISTRATOR",
        "authorized_official_telephone_number": "609-284-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "100800304",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTENSIVE/OUTPATIENT MENTAL HEALTH SERVICES LICENSE",
            "identifier": "100800304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.