Active NPI
Stephens Mental Wellness Psychotherapy
- Clinical Social Worker
- North Caldwell, NJ
National Provider Identifier
1497377915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STEPHENS MENTAL WELLNESS PSYCHOTHERAPY
- Practice address
- 88 Mountain Ave
North Caldwell, NJ 07006-3921 - Phone
- (973) 223-6219
- NPI assigned
- May 7, 2020
- Last updated
- May 7, 2020
- 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
- Rosetta Stephens
- Title
- Owner
- Phone
- (973) 223-6219
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
88 Mountain Ave
North Caldwell, NJ 07006-3921
Mailing address
88 Mountain Ave
North Caldwell, NJ 07006-3921
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- West Orange, NJ
- NPI 1821640723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588809600000",
"number": "1497377915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 MOUNTAIN AVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070063921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 MOUNTAIN AVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070063921",
"telephone_number": "973-223-6219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHENS MENTAL WELLNESS PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "ROSETTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-223-6219"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Caldwell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.