INSPIRE WELLNESS (NPI# 1770064289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770064289 |
| Entity Type | Organization |
| Organization Name | INSPIRE WELLNESS |
| Practice Address |
266 Harristown Rd Ste 209 Glen Rock NJ 07452 |
| Mailing Address |
266 Harristown Rd Ste 209 Glen Rock NJ 07452-3321 |
| Practice Telephone | 2015647331 |
| Mailing Telephone | 2015647331 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | DR. PAUL H GROENEWAL (PARTNER) |
| Authorized Official Telephone | 5512062479 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05287100 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00494500 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 N Summit St, Tenafly, NJ 076701036 | 2015647331 | |
| 140 N Rte 17 Ste 269, Paramus, NJ 076522816 | 2015647321 | |
| 266 Harristown Rd Ste 209, Glen Rock, NJ 07452 | 2015647331 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Inspire Wellness Chiropractic LLC | 14102 Whirlaway Way, Midlothian, Virginia 23112 |
| Vermont Business Registrations | INSPIRE WELLNESS COACHING | 54 Harris Place, Brattleboro Vermont, VT 05301 |
| Indiana Business Entities | INSPIRE WELLNESS COACHING AND CONSULTING LLC | 7323 Wind Dance Pkwy, Greenville, IN 47124 |
| Oregon Corporations, Companies and Business Names | INSPIRE WELLNESS COUNSELING LLC | 535 River St, Cave Junction, OR 97523 |
| Oregon Corporations, Companies and Business Names | INSPIRE WELLNESS LLC | 7319 N John Ave, Suite 101, Portland, OR 97203 |
| Connecticut Business Registrations | INSPIRE WELLNESS LLC | 214 Amity Road, Woodbridge, CT 06854 |
| Colorado Business Entities | Inspire Wellness, LLC | 4835 Painted Sky View, Colorado Springs, CO 80916 |
| Street Address |
266 HARRISTOWN RD STE 209 |
| City | GLEN ROCK |
| State | NJ |
| Zip Code | 07452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957052 | Lisa Jannicelli Lyons | Counselor | 266 Harristown Rd Ste 209, Glen Rock, NJ 07452-3321 | 2017-12-04 |
| 1376199331 | Vanessa Marie Labode-richman | Psychologist | 266 Harristown Rd Ste 209, Glen Rock, NJ 07452-3321 | 2019-08-15 |
| 1295394062 | Reliant Forensic Services | Psychologist | 266 Harristown Rd Ste 209, Glen Rock, NJ 07452-3321 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417004631 | Amira Paris Wallach | Psychologist | 40 S Highwood Ave, Glen Rock, NJ 07452-1402 | 2007-01-03 |
| 1558435909 | Robyn Leslie Fox | Psychologist | 17 Garvey Pl, Glen Rock, NJ 07452-3620 | 2006-11-20 |
| 1184102071 | Anne Rothenberg | Psychologist | 65 Harristown Rd Ste 310, Glen Rock, NJ 07452-3315 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980371 | Eric Rose | Psychologist | 53 Audubon Rd, Teaneck, NJ 07666-5526 | 2020-10-23 |
| 1629682687 | Cbt Center of Central Nj | Psychologist | 16 Pearl Street, Suite 101 Cbt Center of Central Nj LLC, Metuchen, NJ 08840 | 2020-09-06 |
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1871117499 | Haven Psychotherapy LLC | Psychologist | 25 Terrell Rd, Lambertville, NJ 08530-3428 | 2020-05-29 |
| 1447873781 | Elements Psychological Services, LLC | Psychologist | 36 Cottage Ln, Upper Saddle River, NJ 07458-1306 | 2020-05-21 |
| 1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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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.