Organization Active NPI

Stephens Mental Wellness Psychotherapy

  • Clinical Social Worker
  • North Caldwell, NJ
National Provider Identifier
1497377915
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Rosetta StephensNPI 1821640723
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.