Wellness Matters Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26NJ00069500 Issued in NJ

Legal business name

WELLNESS MATTERS PSYCHIATRY LLC

Practice address

52 Forest Rd
New Providence, NJ 07974-2338

Phone

(732) 239-9051

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Kathleen Mickel, APN

Title

Owner

Phone

(732) 239-9051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730604356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 FOREST RD",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742338",
            "telephone_number": "732-239-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 FOREST RD",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742338",
            "telephone_number": "732-239-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MATTERS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MICKEL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-239-9051",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "26NJ00069500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Vojt, PA-C
• Michael Vos, OT
• Andrea Jeanne Walter, M.D.
• Matthew Brian Wasser, M.D.
• Edward George Watson Jr., LCSW
• Whole Body Wellness Physical Therapy LLC
• Madison Blake Winkler, LAC
• Rosa Maria Wippich
• Patricia Wissen, LCSW
• Judith Ilene Wollack-Letson, LCSW

• Psychiatry Physician in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.