Organization Active NPI

Clear Path Mental Wellness LLC

  • Nurse Practitioner
  • Suffern, NY
National Provider Identifier
1629825682
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CLEAR PATH MENTAL WELLNESS LLC
Practice address
400 Rella Blvd
Ste 202 # 5076
Suffern, NY 10901
Phone
(845) 202-2342
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Joseph Rivera, PMHNPNPI 1780448613
Title
Nurse Practitioner in Psychiatry
Phone
(845) 202-2342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

400 Rella Blvd
Ste 202 # 5076
Suffern, NY 10901

Mailing address

400 Rella Blvd
Ste 207 # 5076
Suffern, NY 10901
Phone (845) 202-2342

National Provider Directory

National Provider Directory

Locations

400 Rella Blvd
Ste 202
Suffern, NY 10901
Phone (845) 202-2342

400 Rella Blvd
Ste 207
Suffern, NY 10901

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1629825682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD",
            "address_2": "STE 207 # 5076",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-202-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD",
            "address_2": "STE 202 # 5076",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-202-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER IN PSYCHIATRY",
        "authorized_official_telephone_number": "845-202-2342",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.