Wellness U Professional Corporation

Primary specialty

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

License

44 SC0067340 Issued in NJ

Legal business name

WELLNESS U PROFESSIONAL CORPORATION

Practice address

172 Franklin Ave
Suite 4 a
Ridgewood, NJ 07450-3250

Phone

(201) 638-5819

Fax

(866) 836-4161

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Pauline Carides, LCSW

Title

Owner/Clinician

Phone

(201) 638-5819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1902103518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FRANKLIN AVE",
            "address_2": "SUITE 4 A",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503250",
            "telephone_number": "201-638-5819",
            "fax_number": "866-836-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 FRANKLIN AVE",
            "address_2": "SUITE 4 A",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503250",
            "telephone_number": "201-638-5819",
            "fax_number": "866-836-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS U PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CARIDES",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "201-638-5819",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44 SC0067340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell M Weiser, MD
• Kim Altman Weiss, PH.D.
• Ann Weissman, P.T.
• Lauren Kurpis Welch, D.D.S.
• Donna M Welhorsky, MSW, LSW
• Gregory Wells Jr, LCADC
• Michael Wesson, M.D.
• West Bergen Mental Health Care
• West Bergen Mental Healthcare, Inc.
• West Bergen Mentalhealthcare, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ridgewood, NJ
• Providers in Ridgewood, 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 Feb 16, 2011; 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.