Mindspa Therapeutic Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDSPA THERAPEUTIC WELLNESS CENTER

Doing business as

MindSpa Wellness

Practice address

146 Seminole Ave
New Milford, NJ 07646-1031

Phone

(973) 271-8273

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Shari M Roth, LCSWNPI 1336683416

Title

Owner

Phone

(973) 271-8273

Specialties & licenses 1

Addresses

Other names 1

• MindSpa Wellness Doing business as

Practitioners 1

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

• Shari Roth, LSW

  • Social Worker
  • East Orange, NJ
  • NPI 1336683416
  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1861178444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SEMINOLE AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461031",
            "telephone_number": "973-271-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SEMINOLE AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461031",
            "telephone_number": "973-271-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPA THERAPEUTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-271-8273",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindSpa Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Maye, APN-C
• Medex Anesthesia
• Alexis Jordan Michel, LPC
• Mid Bergen Regional Health Commission
• Barbara Millo
• Lawrence Todd Mintz, D.C.
• Michael J Mraz, MPT
• Kelsey Maureen Musselman Burgess, RD
• Rupa Ravindranathan Nair, P.T.
• National Institute for People With Disabilities of New Jersey

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.