Inspire Wellness

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

INSPIRE WELLNESS

Practice address

266 Harristown Rd Ste 209
Glen Rock, NJ 07452

Phone

(201) 564-7331

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Paul H Groenewal, PSY.DNPI 1083950471

Title

Partner

Phone

(551) 206-2479

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 12

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

• Paul Henry Groenewal, PSY. D.

  • Clinical Psychologist
  • Wyckoff, NJ
  • NPI 1083950471
  Medicare reassignment Care Compare group NPD Authorized official
• Jaymie A Barette, LPC

  • Professional Counselor
  • Maywood, NJ
  • NPI 1407196215
  Medicare reassignment Care Compare group NPD
• Elizabeth Frei, LCSW

  • Clinical Social Worker
  • Dumont, NJ
  • NPI 1275931891
  Medicare reassignment Care Compare group NPD
• Alexandra Legregin Harkins

  • Clinical Social Worker
  • Glen Rock, NJ
  • NPI 1881183093
  Medicare reassignment Care Compare group NPD
• Christine Karounos, PSY.D

  • Psychologist
  • Paterson, NJ
  • NPI 1407312002
  Medicare reassignment NPD
• Rachel Brooke Swartz, LSW

  • Clinical Social Worker
  • Fair Lawn, NJ
  • NPI 1063706059
  Medicare reassignment NPD
• Gil Cnaani

  • Social Worker
  • Tenafly, NJ
  • NPI 1255097242
  NPD
• Ashley Delguercio

  • Clinical Child & Adolescent Psychologist
  • Glen Rock, NJ
  • NPI 1396278396
  NPD
• Michelle Marom, LSW

  • Social Worker
  • Tenafly, NJ
  • NPI 1295540581
  NPD
• Cindy Vouthas Maza, M.ED, LCSW

  • Clinical Social Worker
  • Tenafly, NJ
  • NPI 1811626534
  NPD
• Blake W Jonas, LMFT

  • Marriage & Family Therapist
  • Oradell, NJ
  • NPI 1891165700
  NPD (past)
• Brianna Joelle Sacco, PSYD

  • Clinical Psychologist
  • Ramsey, NJ
  • NPI 1588559207
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1770064289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 209",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "201-564-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 209",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "07452",
            "telephone_number": "201-564-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Summit St",
            "address_purpose": "LOCATION",
            "city": "Tenafly",
            "state": "NJ",
            "postal_code": "076701036",
            "country_code": "US",
            "telephone_number": "201-564-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 N Rte 17 Ste 269",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522816",
            "country_code": "US",
            "telephone_number": "201-564-7321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Harristown Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "07452",
            "country_code": "US",
            "telephone_number": "201-564-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "GROENEWAL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "551-206-2479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00494500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05287100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle E Hillock, LAC
• John Mena Hiras, DC
• Grace Fujia Huisking, PA-C
• Maureen Huntley, CHC AADP
• Iconic Wellness Surgical Services
• Intermedico LLC
• Kalista Concetta Javenes, OTR/L
• Jill Pharmacy Corp (Rock Ridge Pharmacy)
• Jill Pharmacy Corp (Rock Ridge Pharmacy)
• Jill Pharmacy Corp. (Rock Ridge Compounding Pharmacy)

• Clinical Neuropsychologist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.