Mental Wellness Center LLC

Primary specialty

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

Legal business name

MENTAL WELLNESS CENTER LLC

Doing business as

Mental Wellness Center LLC

Practice address

555 North Ave
Fort Lee, NJ 07024-2404

Phone

(201) 410-7376

NPI assigned

Dec 27, 2017

Last updated

Dec 27, 2017By 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

Dr. Samuel Maldonado, PH.D.NPI 1699120568

Title

President

Phone

(201) 364-8474

Specialties & licenses 1

Addresses

Other names 1

• Mental Wellness Center LLC Doing business as

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.

• Samuel Maldonado, PH.D

  • Cognitive & Behavioral Psychologist
  • New Milford, NJ
  • NPI 1699120568
  NPD Authorized official

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1720594898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NORTH AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242404",
            "telephone_number": "201-410-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NORTH AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242404",
            "telephone_number": "201-410-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-364-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical and Geratric Associate PC
• Medna Inc. (Medna)
• Lorie A Meiselman, LCSW LPC
• Lourdes J Melendez, LPC
• Samuel Eli Menahem, PHD
• Metro Dermatology of NJ,PA
• Metrohealth LLC.
• Metropolitan Dental Association
• Metropolitan Mental Health P C
• Metropolitan Mental Health PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Lee, NJ
• Providers in Fort Lee, 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 Dec 27, 2017; 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.