Organization Active NPI

Shearer Mental Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Swedesboro, NJ
National Provider Identifier
1881333763
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHEARER MENTAL HEALTH AND WELLNESS, LLC
Practice address
1630 Route 322
Swedesboro, NJ 08085-3701
Phone
(856) 418-0808
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Dr. Debra Connolly Shearer, EDD, FNP-BC, PMHNP-B
Title
Owner
Phone
(856) 912-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1630 Route 322
Swedesboro, NJ 08085-3701

Mailing address

1630 Route 322 Unit E
Swedesboro, NJ 08085-3701
Phone (856) 418-0808

National Provider Directory

National Provider Directory

Locations

1630 Route 322
Woolwich Twp, NJ 08085
Phone (856) 418-0808

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": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1881333763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ROUTE 322 UNIT E",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853701",
            "telephone_number": "856-418-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ROUTE 322",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853701",
            "telephone_number": "856-418-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARER MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "CONNOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-912-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, FNP-BC, PMHNP-B"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.