Intouch Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

INTOUCH MENTAL WELLNESS LLC

Practice address

20 Banta PL Ste 208
Hackensack, NJ 07601-5606

Phone

(201) 968-5168

Fax

(201) 968-5169

NPI assigned

Jun 22, 2021

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anastasia A KrosnickNPI 1629552245

Title

Owner

Phone

(732) 421-2860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Anastasia A. Krosnick, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackensack, NJ
  • NPI 1629552245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1518536754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BANTA PL STE 208",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015606",
            "telephone_number": "201-968-5168",
            "fax_number": "201-968-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BANTA PL STE 208",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015606",
            "telephone_number": "201-968-5168",
            "fax_number": "201-968-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOUCH MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "KROSNICK",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-421-2860"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Clinical Nurse Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.