Mountainside Wellness Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MOUNTAINSIDE WELLNESS CENTER

Practice address

41 Rogers LN
Sparta, NJ 07871-3128

Phone

(561) 299-8925

NPI assigned

Feb 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Riley

Title

Ceo

Phone

(551) 299-8925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487980800000",
    "number": "1528508454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ROGERS LN",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713128",
            "telephone_number": "561-299-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ROGERS LN",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713128",
            "telephone_number": "561-299-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "551-299-8925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D. Moore, EDD, CCC-SLP
• Erma Morales Muyuela, APN
• Brenda Mori, PT, DPT
• Sandra Morrison, APN
• Mary Kathleen Morrissey, PT
• David C Mueller, DPM
• Donald Joseph Mykulak, MD
• Anandhi K Nadarajah, MD
• Isabel Juliette Nassi
• Gerald Robert Nathan, PHD

• Adult Mental Health Clinic/Center in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.