Introspection, Mind,Body&Spirit Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTROSPECTION, MIND,BODY&SPIRIT CENTER

Practice address

1293 Broad St
Suite 2
Bloomfield, NJ 07003-3060

Phone

(973) 931-2524

Fax

(973) 338-1487

NPI assigned

Mar 16, 2011

Last updated

Mar 16, 2011By 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

Ms. Linda Gable-Gaston, APN

Title

Ceo

Phone

(973) 931-2524

Specialties & licenses 1

Addresses

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.

• George Fredrick Rosemond Jr., MA IN COUNSELING

  • Mental Health Counselor
  • Newark, NJ
  • NPI 1164721858
  NPD

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1750680864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WATCHUNG AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431728",
            "telephone_number": "973-931-2524",
            "fax_number": "973-338-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 BROAD ST",
            "address_2": "SUITE 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033060",
            "telephone_number": "973-931-2524",
            "fax_number": "973-338-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROSPECTION, MIND,BODY&SPIRIT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "GABLE-GASTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-931-2524",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immedicenter Bloomfield
• Amanda Eve Immerblum, MS, FNP-BC
• Wanda E Ince
• Anthony C Ingenito, MD
• Julio Iniguez, LMFT
• Irie Dental Associates LLC
• Ismile Dental Care of Bloomfield
• Shavon Leigh Jackson-Michel, N.D.
• Roy F Jackson, DC
• Ellen James, EDD, OTR/L

• Community/Behavioral Health Agency in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.