Mindful Mend Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL MEND THERAPY

Practice address

31 Van Duyne Ave
Rockaway, NJ 07866-4102

Phone

(973) 600-7423

Fax

(973) 440-3108

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Jaime Dangler

Title

Owner

Phone

(973) 600-7423

Specialties & licenses 1

Addresses

Other names 1

• Mindful Mend Therapy Doing business as

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1669299145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W MOUNT PLEASANT AVE # 1159",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391701",
            "telephone_number": "973-600-7423",
            "fax_number": "973-440-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 VAN DUYNE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664102",
            "telephone_number": "973-600-7423",
            "fax_number": "973-440-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "DANGLER",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-600-7423"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Mend Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Mend Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Melis, M.D.
• Jaclyn Meseck
• Jenna Meyerberg
• Michael L Feld
• Denise Marie Michalowski, LCSW, LCADC
• Vito Minervini, D.C.,C.C.E.P.,C.C.SP
• Madeeha Mirza
• Saman Moazami, M.D.
• Mobile Health Services
• Monica Hernandez

• Mental Health Counselor in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.