Generational Wellness Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GENERATIONAL WELLNESS CENTER

Practice address

121 Cedar LN Ste 102
Teaneck, NJ 07666-4457

Phone

(201) 357-9885

NPI assigned

Apr 10, 2026

Organization subpart

No

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

Authorized official

Name

Chanill Medina, LMFTNPI 1104414895

Title

Owner, Ceo

Phone

(201) 357-9885

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanill Medina

  • Marriage & Family Therapist
  • Teaneck, NJ
  • NPI 1104414895
  NPD Authorized official

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1740123264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN STE 102",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-357-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN STE 102",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-357-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "CHANILL",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "201-357-9885",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Gauthier
• Matthew Seth Gavzy, PTA
• Marjorie Alderete Gayanilo, MD
• John David Gelles, O.D.
• Michelle Amy Gellman, ORT/L
• Jo-Anne Genita, PTA
• Gentleride Medical Transportation Inc
• Nissi Varughese George, APN
• Preethi S George, MD
• Rinsu Anna George, DNP

• Marriage & Family Therapist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.