Mind and Body Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05724700 Issued in NJ

Legal business name

MIND AND BODY PSYCHOTHERAPY

Practice address

39 Avenue at the CMN Ste 106
Shrewsbury, NJ 07702-4560

Phone

(732) 737-4224

NPI assigned

Sep 27, 2017

Last updated

Sep 27, 2017By 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

Jenna R Cohen, LCSW

Title

Owner

Phone

(732) 737-4224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1548779085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 4TH AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161209",
            "telephone_number": "908-415-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 AVENUE AT THE CMN STE 106",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024560",
            "telephone_number": "732-737-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-737-4224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05724700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Jay Mendelson, PHD
• Marc Scott Menkowitz, M.D.
• Meridian Nursing and Rehabilitation Inc. (Meridian Nursing and Rehabilitation at Shrewsbury)
• Nancy Intilli Mertens, MS, LPC, ATR-BC
• Charles Luther Miller, MD
• Jennifer Minnick Brennan, APRN, BC, LLC
• Miracles in Motion Physical Therapy LLC
• Pamela Mizrahi, OTR/L
• Domenica M Modica
• Monmouth County ICU Consortium, LLC

• Clinical Social Worker in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Sep 27, 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.