Active NPI
Shearer Mental Health and Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Swedesboro, NJ
National Provider Identifier
1881333763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Swedesboro, NJ
- NPI 1124356415
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.