Organization Active NPI

Sea Clear Mental Wellness, LLC

  • Psychologist
  • Red Bank, NJ
National Provider Identifier
1649862418
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SEA CLEAR MENTAL WELLNESS, LLC
Practice address
565 State Route 35 Ste 8D
Red Bank, NJ 07701-5047
Phone
(732) 996-4221
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Dr. Elizabeth Ann Bena-Schaul, PSYDNPI 1780822825
Title
Psychologist / Owner
Phone
(732) 996-4221

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

565 State Route 35 Ste 8D
Red Bank, NJ 07701-5047

Mailing address

8 Hidden Pond LN
Holmdel, NJ 07733-1058
Phone (732) 996-4221

National Provider Directory

National Provider Directory

Locations

565 State Route 35
Ste 8D
Red Bank, NJ 07701
Phone (732) 996-4221

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1649862418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIDDEN POND LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331058",
            "telephone_number": "732-996-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 STATE ROUTE 35 STE 8D",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-996-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CLEAR MENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BENA-SCHAUL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "732-996-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.