Organization Active NPI

The Wellness Center

  • Clinical Neuropsychologist
  • Cherry Hill, NJ
National Provider Identifier
1487715090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
25MB07214800 Issued in NY
Legal business name
THE WELLNESS CENTER
Practice address
1214 Chambers Ave
Cherry Hill, NJ 08002-3211
Phone
(856) 488-4806
Fax
(856) 488-4809
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sean T Hubbard, D.O
Title
Neurology
Phone
(856) 488-4806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 25MB07214800 NY Primary

Addresses

Primary practice location

1214 Chambers Ave
Cherry Hill, NJ 08002-3211

Mailing address

1214 Chambers Ave
Cherry Hill, NJ 08002-3211
Phone (856) 488-4806

Other names 1

  • NEUROLOGICAL MANAGEMENT GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1214 Chambers St
Cherry Hill, NJ 08002
Phone (856) 488-4806

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487715090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 CHAMBERS AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023211",
            "telephone_number": "856-488-4806",
            "fax_number": "856-488-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 CHAMBERS AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023211",
            "telephone_number": "856-488-4806",
            "fax_number": "856-488-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "NEUROLOGY",
        "authorized_official_telephone_number": "856-488-4806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "25MB07214800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUROLOGICAL MANAGEMENT GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.