Mindful Intentions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL INTENTIONS

Practice address

1341 Hamburg Tpke Ste 1-5
Wayne, NJ 07470-4042

Phone

(973) 250-8265

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Pichardo, LCSW

Title

Clinical Executive Director

Phone

(973) 289-9208

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiersten Massa, LPC, LCADC

  • Professional Counselor
  • Wayne, NJ
  • NPI 1922701010
  NPD
• Michelle V Sucaldito

  • Clinical Social Worker
  • Pompton Plains, NJ
  • NPI 1063025880
  NPD
• Alexis D'Aloia

  • Clinical Social Worker
  • South Orange, NJ
  • NPI 1275485476
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1528754934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HAMBURG TPKE STE 1-5",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704042",
            "telephone_number": "973-250-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL INTENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-289-9208",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jansenia Diane Millares, MSN, APRN, FNP-C
• Millennium Physical Therapy II, LLC
• Melissa Miller, LAC, NCC
• Robert Milligan, DDS
• Mindframe, LLC
• Ashley Minetti
• Angela Minhas, DC
• Marie Minichiello, LCSW
• Tatyana Mishin, M.S.
• Ken Edward Mishler, MD

• Clinical Social Worker in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.