MIND BODY HEALTH CENTER LLC (NPI# 1063587731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063587731 |
| Entity Type | Organization |
| Organization Name | MIND BODY HEALTH CENTER LLC |
| Practice Address |
1806 Springfield Ave New Providence NJ 07974 |
| Practice Telephone | 9084641400 |
| Practice Fax Number | 9084641344 |
| Mailing Telephone | 9084641400 |
| Mailing Fax Number | 9084641344 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ELEONORA CIELO (DIRECTOR) |
| Authorized Official Telephone | 9084642135 |
| Authorized Official Credential | MA LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | PC721 | NJ | Behavioral Health & Social Service Providers |
| X | 101Y00000X | Counselor | 37PC00297300 | NJ | Behavioral Health & Social Service Providers |
| X | 208100000X | Physical Medicine & Rehabilitation | MA02860900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1806 SPRINGFIELD AVE |
| City | NEW PROVIDENCE |
| State | NJ |
| Zip Code | 07974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205906393 | Michael John Orlando | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2006-11-08 |
| 1871001974 | Practical Health Solutions LLC | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2018-01-11 |
| 1861810335 | Frasco Chiropractic,llc. | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2014-04-02 |
| 1093145179 | Michael Rullo | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2013-11-26 |
| 1982909297 | Erika Ledder Inzano | Social Worker | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2011-01-18 |
| 1043431430 | Khimya I Vaswani | Internal Medicine | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2007-05-01 |
| 1669697439 | Parnika Bhagat | Dentist | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2007-04-16 |
| 1386764959 | Joseph J Frasco | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2007-03-29 |
| 1497881312 | Eleonora Cielo | Counselor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2007-02-26 |
| 1528125689 | Carlos Moglianesi | Dentist | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775996 | A & J Majestic Care, LLC | In Home Supportive Care | 36 High Street, New Providence, NJ 07974 | 2018-09-25 |
| 1790222131 | Lantern Hill, Inc. | Skilled Nursing Facility | 537 Mountain Avenue, Attn: Extended Care Adminstrator, New Providence, NJ 07974 | 2017-01-24 |
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| 1548591340 | Sushmita Srivastav | Internal Medicine | 535 Mountain Ave, New Providence, NJ 07974 | 2010-01-19 |
| 1548406465 | Benjamin Mark Schneider | Radiology | 1811 Springfield Avenue, Summit Radiological Associates, New Providence, NJ 07974 | 2008-12-23 |
| 1033314042 | Jeffrey T Leary | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2007-06-19 |
| 1336369925 | James Michael Rubino | Dentist | 598 Central Avenue, New Providence, NJ 07974 | 2007-04-26 |
| 1194942839 | Patricia A Baroff | Social Worker | 114 Glenside Road, Murray Hill, NJ 07974 | 2007-04-20 |
| 1497873244 | Gastrocare, LLC | Internal Medicine | 571 Central Avenue, Suite 112, New Providence, NJ 07974 | 2007-03-27 |
| 1629196134 | Carlos Moglianesi, D.m.d. PC | Dentist | 1806 Springfield Ave., New Providence, NJ 07974 | 2007-03-26 |
| Find all providers in zip 07974 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143102 | Advent Christian Health Associates | Counselor | 139 South St, Suite 102, New Providence, NJ 07974-1999 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | NEW PROVIDENCE |
| Zip Code | 07974 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.