NPIMap

Organization Active NPI

Psychwell Senior Services

  • Psychologist
  • Clifton, NJ
National Provider Identifier
1992518575
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHWELL SENIOR SERVICES
Practice address
6 Woodward Ave
Clifton, NJ 07012-1227
Phone
(201) 467-6057
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Ezra Cowan, PSYDNPI 1861155210
Title
Owner
Phone
(201) 467-6057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6 Woodward Ave
Clifton, NJ 07012-1227

Mailing address

6 Woodward Ave
Clifton, NJ 07012-1227

National Provider Directory

National Provider Directory

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": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1992518575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODWARD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODWARD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121227",
            "telephone_number": "201-467-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHWELL SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-467-6057",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.