Organization Active NPI

Wisdom Mental Health, LLC

  • Community/Behavioral Health Agency
  • Moorestown, NJ
National Provider Identifier
1821797150
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WISDOM MENTAL HEALTH, LLC
Practice address
1221 N Church St Unit 105
Moorestown, NJ 08057-1245
Phone
(609) 577-3381
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Jennifer PuglieseNPI 1396221487
Title
LCSW/Owner
Phone
(609) 577-3381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1221 N Church St Unit 105
Moorestown, NJ 08057-1245

Mailing address

1221 N Church St Unit 105
Moorestown, NJ 08057-1245

National Provider Directory

National Provider Directory

Locations

1221 N Church St
Unit 105
Moorestown, NJ 08057
Phone (609) 577-3381

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1821797150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST UNIT 105",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST UNIT 105",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "609-577-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "PUGLIESE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "609-577-3381"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.