NPIMap

Organization Active NPI

Equilibria Mental Health of New Jersey LLC

Doing business as Equilibria Psychological & Consultation Services

  • Clinical Psychologist
  • Maple Shade, NJ
National Provider Identifier
1841090032
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EQUILIBRIA MENTAL HEALTH OF NEW JERSEY LLC
Doing business as
Equilibria Psychological & Consultation Services
Practice address
1000 S Lenola Rd Ste 106
Maple Shade, NJ 08052-1630
Phone
(856) 221-4914
NPI assigned
Mar 17, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Michelle Chen
Title
Office Manager
Phone
(856) 221-4914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1000 S Lenola Rd Ste 106
Maple Shade, NJ 08052-1630

Mailing address

PO Box 592
Pilgrim Gardens, PA 19026-0592

Other names 1

  • Equilibria Psychological & Consultation Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616000835 NJ Part B Supplier - Clinic/Group Practice 8527579713 Receives reassigned benefits from 2 practitioners
Practice locations: Maple Shade, NJ

National Provider Directory

National Provider Directory

Locations

1000 S Lenola Rd
Ste 106
Maple Shade, NJ 08052
Phone (856) 221-4914

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1841090032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "PILGRIM GARDENS",
            "state": "PA",
            "postal_code": "190260592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LENOLA RD STE 106",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521630",
            "telephone_number": "856-221-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIA MENTAL HEALTH OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-221-4914"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equilibria Psychological & Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Equilibria Psychological & Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.