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 |
| Find all providers in the same location | ||||
| 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... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589017 | Healthcareserv Inc | Clinic/Center | 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 | 2020-08-18 |
| 1083225957 | Hopeful Hearts Therapy LLC | Clinic/Center | 100 Horizon Drive, 1st and 2nd Floors, Hamilton, NJ 08691 | 2020-08-13 |
| 1326656182 | The Calming Place | Clinic/Center | 30 Pelham Rd, Marlton, NJ 08053-2423 | 2020-07-17 |
| 1043828809 | Symbol of Hope Counseling, LLC | Clinic/Center | 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 | 2020-07-17 |
| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTER FOR MINDFUL CHANGE, LLC.
| 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.