Organization Active NPI

Wellbeing Psychology LLC

  • Psychologist
  • West Orange, NJ
National Provider Identifier
1780140012
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WELLBEING PSYCHOLOGY LLC
Practice address
623 Eagle Rock Ave Ste 1
West Orange, NJ 07052-2948
Phone
(347) 450-5320
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Salma Khshaiboon, PHD
Title
Psychologist/Owner
Phone
(201) 658-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

623 Eagle Rock Ave Ste 1
West Orange, NJ 07052-2948

Mailing address

PO Box 433
West Orange, NJ 07052-0433
Phone (347) 450-5320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1780140012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070520433",
            "telephone_number": "347-450-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 EAGLE ROCK AVE STE 1",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522948",
            "telephone_number": "347-450-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "KHSHAIBOON",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "201-658-3430",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.