4MIND2BODY THERAPEUTIC INSTITUTE L.L.C. (NPI# 1548759715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548759715 |
| Entity Type | Organization |
| Organization Name | 4MIND2BODY THERAPEUTIC INSTITUTE L.L.C. |
| Practice Address |
129 Valley Rd Montclair NJ 07042-2331 |
| Practice Telephone | 9735252314 |
| Practice Fax Number | 9737864260 |
| Mailing Telephone | 9735252314 |
| Mailing Fax Number | 9737864260 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | MRS. NARDA LUDENA (LICENSED MARRIAGE AND FAMILY THERAP) |
| Authorized Official Telephone | 9735252314 |
| Authorized Official Credential | MA/ED.S-LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 37FI00177300 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
129 VALLEY RD |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144578584 | Cynthia Marie Raines | Counselor | 129 Valley Rd, Montclair, NJ 07042-2331 | 2012-08-15 |
| 1942707492 | Rhea Bensman Psyd LLC | Psychologist | 129 Valley Rd, Montclair, NJ 07042-2331 | 2018-04-11 |
| 1902310196 | Wintertree Psychotherapy | Clinic/Center | 129 Valley Rd, Montclair, NJ 07042-2331 | 2017-11-27 |
| 1205365160 | Karen Lee Benenson | Social Worker | 129 Valley Rd, Montclair, NJ 07042-2331 | 2017-06-05 |
| 1255871307 | Clinical Office for Progress and Empowerment | Social Worker | 129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331 | 2017-03-07 |
| 1942752902 | Christine Morales | Social Worker | 129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331 | 2016-10-25 |
| 1073904801 | Avicenna Medical Center | Psychologist | 129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537978 | Flor Y Siendo Individual and Family Therapy, Professional Corporation | Marriage & Family Therapist | 5050 Palo Verde St Ste 107, Montclair, CA 91763-2333 | 2020-01-18 |
| 1437518503 | Maria Antoniou | Marriage & Family Therapist | 125 Gates Ave, Apt 15, Montclair, NJ 07042-2522 | 2016-02-18 |
| 1538438585 | Mindy Faith Chavez | Marriage & Family Therapist | 10200 Lehigh Ave, Montclair, CA 91763-3550 | 2011-12-20 |
| 1508991746 | Meredith Elena Medin | Marriage & Family Therapist | 5330 San Bernardino St, Montclair, CA 91763-2952 | 2007-02-21 |
| 1689282337 | Barbara Hanna | Marriage & Family Therapist | 70 Park St Ste 104, Montclair, NJ 07042-2960 | 2020-07-20 |
| 1891333035 | Becky Diaz | Marriage & Family Therapist | 311 Claremont Ave, Montclair, NJ 07042-2240 | 2019-12-18 |
| 1639735194 | Building Successful Relationships, LLC | Marriage & Family Therapist | 311 Claremont Ave, Montclair, NJ 07042-2240 | 2019-05-10 |
| 1083188247 | Belgin Olgun | Marriage & Family Therapist | 100 Valley Rd, Montclair, NJ 07042-2200 | 2019-01-21 |
| 1154811727 | Carla Renee Vitola | Marriage & Family Therapist | 70 Park St Ste 104, Montclair, NJ 07042-2960 | 2018-05-18 |
| 1629500012 | Bijal Patel LLC | Marriage & Family Therapist | 70 Park St, Suite 104, Montclair, NJ 07042-5907 | 2017-04-03 |
| Find all providers in MONTCLAIR | ||||
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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.