Active NPI
Behavioral Wellness Connection Be Well Connect
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, NJ
National Provider Identifier
1679080469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 25NJ00323400
- Legal business name
- BEHAVIORAL WELLNESS CONNECTION BE WELL CONNECT
- Practice address
- 22 Gordon Ave
Lawrenceville, NJ 08648 - Phone
- (609) 844-0452
- Fax
- (609) 844-0518
- NPI assigned
- Jan 3, 2018
- Last updated
- Jan 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lizbeth A. Smith, DRNP
- Title
- Owner
- Phone
- (609) 844-0452
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 25NJ00323400 | NJ | Primary |
Addresses
Primary practice location
22 Gordon Ave
Lawrenceville, NJ 08648
Mailing address
P.O. 6573
Lawrenceville, NJ 08648-6573
Phone (609) 844-0452
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, NJ
- NPI 1568752723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514937600000",
"number": "1679080469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. 6573",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086486573",
"telephone_number": "609-844-0452",
"fax_number": "609-844-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 GORDON AVE",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "08648",
"telephone_number": "609-844-0452",
"fax_number": "609-844-0518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL WELLNESS CONNECTION BE WELL CONNECT",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-03",
"last_updated": "2018-01-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LIZBETH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-844-0452",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DRNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "25NJ00323400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.