CENTER FOR MINDFUL CHANGE, LLC (NPI# 1083891139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083891139 |
Entity Type | Organization |
Organization Name | CENTER FOR MINDFUL CHANGE, LLC |
Other Organization Name | KATHRYN A GRIFFITHS MSW,LCSW,BCD |
Practice Address |
550 W Main St Boonton NJ 07005-1168 |
Practice Telephone | 9732575666 |
Mailing Telephone | 9732575666 |
Enumeration Date | 2008-01-30 |
Last Update Date | 2014-05-20 |
Authorized Official Name | KATHRYN A GRIFFITHS (OWNER/MANAGER) |
Authorized Official Telephone | 9732575666 |
Authorized Official Credential | MSW,LCSW,BCD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
44SC04309700 | NJ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Kathryn A Griffiths MSW,LCSW,BCD | Doing Business As Name - Organization |
Street Address |
550 W MAIN ST |
City | BOONTON |
State | NJ |
Zip Code | 07005-1168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558338046 | Kathryn A Griffiths | Social Worker | 550 W Main St, Suite 1, Boonton, NJ 07005-1168 | 2006-03-02 |
1548869639 | Kim M Traina-nolan | Marriage & Family Therapist | 550 W Main St, Boonton, NJ 07005-1168 | 2020-10-20 |
1831697820 | Practical Therapy Network LLC | Counselor | 550 W Main St, Boonton, NJ 07005 | 2018-01-25 |
1699297168 | Echo Blue Enterprise LLC | Nurse Practitioner | 550 W Main St, Boonton, NJ 07005-1168 | 2017-07-16 |
1134578586 | Janine Heinis | Counselor | 550 W Main St, Boonton, NJ 07005 | 2016-06-07 |
1043505282 | Caitlin N Zarro | Counselor | 550 W Main St, Boonton, NJ 07005-1168 | 2011-06-16 |
1578896239 | Iraj Nejat, M.d.,f.a.a.p.,p.a. | Pediatrics | 550 W Main St, Boonton, NJ 07005-1168 | 2009-09-14 |
1679716781 | Randolph Scott Shipon | Psychologist | 550 W Main St, Boonton, NJ 07005-1168 | 2009-04-20 |
1003096678 | Robert E Rinaldi M.d. | Obstetrics & Gynecology | 550 W Main St, Boonton, NJ 07005-1168 | 2007-11-12 |
1356473896 | Angela Rafaella Piegari | Social Worker | 550 W Main St, Boonton, NJ 07005-1168 | 2007-03-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
1275796286 | Yurata Gerwel Modzelewski | Pediatrics | 105 Powerville Road, Boonton Twp, NJ 07005 | 2008-07-09 |
1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
Find all providers in zip 07005 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
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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.