Peaceful Minds Psychotherapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEACEFUL MINDS PSYCHOTHERAPY, LLC

Practice address

116 Craig Rd
Manalapan, NJ 07726-3253

Phone

(848) 757-6405

NPI assigned

Jun 8, 2021

Last updated

Aug 17, 2023By 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

Ms. Samantha Nicole Fields, MSW, LCSW, CCATP

Title

Practice Owner

Phone

(732) 239-5375

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Nicole Fields-Vitolo, MSW, LCSW, CCATP

  • Clinical Social Worker
  • Manalapan, NJ
  • NPI 1346517190
  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1669049607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CRAIG RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263253",
            "telephone_number": "848-757-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CRAIG RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263253",
            "telephone_number": "848-757-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MINDS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "732-239-5375",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, CCATP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Pedowitz, PA-C
• Debra Peneiras, PMHNP-BC
• Sergio Peneiras, O.D.
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.